NPI 1831791094
Ozark Center for Lifestyle Medicine, INC.
Practice location
- Address
- 2894 N McKee Cir STE 120, Fayetteville, AR 72703-3498
- Phone
- (870) 505-4619
- Mailing address
- 164 Nc 9203, Pettigrew, AR 72752
Authorised official
- Name
- Cynthia Louise Morgan
- Title
- Founder and Executive Director
- Phone
- (479) 325-4859
Registered specialties (2)
Public Health & General Preventive Medicine Physician
Primary
Rural Health Clinic/Center
Registry record
- NPI
- 1831791094
- Entity type
- Organization
- NPI issued
- 12 Nov 2020
- Record last updated
- 19 Dec 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.