Whalio Doctors

NPI 1013905587

Ozark Surgical Associates

Organisation Surgery Physician Fayetteville, AR

Practice location

Address
3017 N Bob Younkin Dr Suite 101, Fayetteville, AR 72703-3926
Phone
(479) 521-1484
Fax
(479) 521-1550

Authorised official

Name
Clara J. Peters
Title
Practice Administrator
Phone
(479) 521-1484

Registered specialties (4)

Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence C7126 (AR)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence E0751 (AR)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence E3076 (AR)
General Practice Physician
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence N8290 (AR)

Registry record

NPI
1013905587
Entity type
Organization
NPI issued
10 Oct 2005
Record last updated
10 Nov 2009

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.