Whalio Doctors

NPI 1467539155

Jared Ennis, MD

Practitioner Interventional Pain Medicine Physician Fayetteville, AR

Practice location

Address
4019 N Remington Dr, Fayetteville, AR 72703-6344
Phone
(479) 595-8192
Fax
(479) 442-1748

Registered specialties (2)

Interventional Pain Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence E-4271 (AR)
Anesthesiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence E-4271 (AR)

Registry record

NPI
1467539155
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Nov 2006
Record last updated
29 Mar 2023

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.