NPI 1962899989
Ancillary Innovations
Practice location
- Address
- 1792 E Joyce Blvd STE 3, Fayetteville, AR 72703-5255
- Phone
- (479) 301-2565
- Fax
- (479) 301-2717
Authorised official
- Name
- Regina E Thurman
- Title
- Ceo
- Phone
- (479) 301-2565
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1962899989
- Entity type
- Organization
- NPI issued
- 16 Apr 2015
- Record last updated
- 16 Apr 2015
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.