NPI 1134207483

Ozark Dermatology Clinic

Organisation Specialist Fayetteville, AR

Practice location

Address: 4375 N. Vantage Drive Suite 305, Fayetteville, AR 72703-4984
Phone: (479) 443-5100
Fax: (479) 443-5117

Authorised official

Name: Diane Williams
Title: Credentialing Manager
Phone: (479) 335-1831

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Arkansas →

Registry record

NPI: 1134207483
Entity type: Organization
NPI issued: 2 Nov 2006
Record last updated: 22 Feb 2022

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.