NPI 1013647569

Peach State Medical Practice, PC

Organisation Reproductive Endocrinology Physician Rogers, AR

Practice location

Address: 2203 S Promenade Blvd STE 5185, Rogers, AR 72758-8722
Phone: (855) 563-2639
Fax: (646) 905-0987
Mailing address: 333 S Desplaines St STE 201, Chicago, IL 60661-5514

Authorised official

Name: Fahimeh Sasan
Title: Founding Obgyn
Phone: (855) 563-2639

Registered specialties (2)

Reproductive Endocrinology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207VE0102X

Other Obstetrics & Gynecology providers in Arkansas →

Obstetrics & Gynecology Physician

Allopathic & Osteopathic Physicians Taxonomy 207V00000X

Registry record

NPI: 1013647569
Entity type: Organization
NPI issued: 15 Jun 2022
Record last updated: 20 May 2024

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.