NPI 1063456184

Phetsamone Peter Xaysanasy, DPM

Practitioner Podiatrist Fayetteville, AR

Practice location

Address: 125 W Sunbridge Dr Suite 1, Fayetteville, AR 72703-1899
Phone: (479) 251-9200

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 193 (AR)

Other Podiatrist providers in Arkansas →

Registry record

NPI: 1063456184
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jun 2006
Record last updated: 3 Jan 2011

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.