NPI 1619214798

Fort Smith Hma Pbc Management LLC

Organisation Urology Physician Fort Smith, AR

Practice location

Address: 5500 Ellsworth Rd, Fort Smith, AR 72903-3222
Phone: (479) 242-2411
Fax: (479) 242-2412
Mailing address: 5811 Pelican Bay Blvd Suite 500, Naples, FL 34108-2733

Authorised official

Name: Michael L Gingras
Title: Vice President
Phone: (239) 598-3131

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Arkansas →

Registry record

NPI: 1619214798
Entity type: Organization
NPI issued: 10 Jan 2013
Record last updated: 10 Jan 2013

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.