NPI 1013084631

Fayetteville Surgical Assoc PA

Organisation Specialist Fayetteville, AR

Practice location

Address: 3264 N. North Hills Blvd., Fayetteville, AR 72703-4005
Phone: (479) 521-3300
Fax: (479) 521-4914

Authorised official

Name: Gwen S Mathis
Title: Clinic Administrator
Phone: (479) 521-3300

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Arkansas →

Registry record

NPI: 1013084631
Entity type: Organization
NPI issued: 29 Nov 2006
Record last updated: 22 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.