Whalio Doctors

NPI 1043271679

Stanley Louis Reyenga, MD

Practitioner Emergency Medicine Physician Ft. Smith, AR

Practice location

Address
1311 South I St. ER Dept., Ft. Smith, AR 72901
Phone
(479) 441-5011
Fax
(405) 749-4561
Mailing address
4401 W Memorial Rd Suite 121, Oklahoma City, OK 73134-1785

Registered specialties

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence C4992 (AR)

Registry record

NPI
1043271679
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Mar 2006
Record last updated
12 Nov 2007

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.