NPI 1104097500

Washington Regional Medical System

Organisation Neurological Surgery Physician Fayetteville, AR

Practice location

Address: 3336 N Futrall Dr, Fayetteville, AR 72703-4057
Phone: (479) 463-3000
Fax: (479) 469-3050
Mailing address: 12 E Appleby Rd Clinic Administration, Fayetteville, AR 72703-3901

Authorised official

Name: Daniel Eckels
Title: Senior Vice President/Cfo
Phone: (479) 463-1704

Registered specialties (2)

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X

Other Neurological Surgery providers in Arkansas →

Clinical Neurophysiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2084N0600X

Other Psychiatry & Neurology providers in Arkansas →

Registry record

NPI: 1104097500
Entity type: Organization
NPI issued: 13 Mar 2008
Record last updated: 17 Dec 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.