Fort Smith Neuroscience Center, Pllc.

NPI 1700211885 - Specialist - 174400000X

NPI Details
NPI 1700211885
Enumeration Date 09/09/2013
Last Updated 12/03/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SHAWN P SHAWN
Position OWNER
Phone (479) 434-3544
Fax (479) 434-3547
Practice Location
7217 CAMERON PARK DRIVE
FORT SMITH AR, 72903, US
Phone (479) 434-3544
Fax (479) 434-3547
Business Location
PO BOX 180969
FORT SMITH AR, 72918-0969, US
Phone (479) 434-3544
Fax (479) 434-3547
Toxanomy
Taxonomy Code 174400000X
License State Arkansas
License Number E6954
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According to our database, Fort Smith Neuroscience Center, Pllc. NPI is 1700211885, taxonomy code is 174400000X and license number is E6954, license state is located at Arkansas. Fort Smith Neuroscience Center, Pllc. physically located at 7217 Cameron Park Drive, Fort Smith AR, 72903. NPI Number 1033115704 has the healthcare provider type.

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1700211885 NPI number is provided on an as is basis without warranty of any kind. 1700211885 is maintained by the National Plan & Provider Enumeration System. The contents of Fort Smith Neuroscience Center, Pllc. are for informational purposes only.