NPI 1063903748

Well Life Family Medicine INC

Organisation General Practice Physician Fort Smith, AR

Practice location

Address: 1623 Rogers Ave, Fort Smith, AR 72901-3826
Phone: (479) 782-6318
Fax: (479) 782-7028

Authorised official

Name: Bryan K Ledbetter
Title: D.O./ Owner
Phone: (479) 782-6318

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence T2018-104 (AR)

Other General Practice providers in Arkansas →

Registry record

NPI: 1063903748
Entity type: Organization
NPI issued: 29 May 2018
Record last updated: 29 May 2018

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.