NPI 1821104449

Vamc

Organisation Military Hospital Fayetteville, AR

Practice location

Address: 1100 N College Ave, Fayetteville, AR 72703-1944
Phone: (479) 443-4301
Fax: (479) 587-5996
Mailing address: 1621 N Charlee Ave, Fayetteville, AR 72703-3066

Authorised official

Name: Jon Scott Keller
Title: Physician Asst
Phone: (479) 443-4301

Registered specialties

Military Hospital Primary

Hospitals Taxonomy 286500000X Licence PA140 (AR)

Other Military Hospital providers in Arkansas →

Registry record

NPI: 1821104449
Entity type: Organization
NPI issued: 23 Aug 2006
Record last updated: 22 Aug 2020

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.