NPI 1083380372

Candor Clinicians PA

Organisation Specialist Fayetteville, AR

Practice location

Address: 153 E Monte Painter Dr, Fayetteville, AR 72703-4002
Phone: (479) 601-2314
Fax: (888) 664-5545
Mailing address: 4602 W Warbal Trl, Rogers, AR 72758-8095

Authorised official

Name: Kennetha Carder
Title: Office Manager
Phone: (479) 601-2314

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Arkansas →

Registry record

NPI: 1083380372
Entity type: Organization
NPI issued: 18 Aug 2021
Record last updated: 20 Dec 2021

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.