NPI 1053754622

Hessel Kooistra, MD

Practitioner General Practice Physician Fayetteville, AR

Practice location

Address: 10971 Rocky Creek Rd, Fayetteville, AR 72701-0614
Phone: (479) 841-2736
Mailing address: 10975 Rocky Creek Rd, Fayetteville, AR 72701-0614

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence E-2570 (AR)

Other General Practice providers in Arkansas →

Registry record

NPI: 1053754622
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Apr 2013
Record last updated: 12 Apr 2013

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.