Whalio Doctors

NPI 1831791094

Ozark Center for Lifestyle Medicine, INC.

Organisation Public Health & General Preventive Medicine Physician Fayetteville, AR

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
Allopathic & Osteopathic Physicians Taxonomy 2083P0901X
Rural Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR1300X

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.