NPI 1043693450
Matthew Waymack
Practice location
- Address
- 1610 S Arkansas Ave, Russellville, AR 72801-7125
- Phone
- (479) 967-4673
- Fax
- (479) 967-7140
- Mailing address
- 602 N Walton Blvd, Bentonville, AR 72712-4576
Registered specialties
Counselor
Primary
Registry record
- NPI
- 1043693450
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Jul 2015
- Record last updated
- 2 Jul 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.