Whalio Doctors

NPI 1710993654

Scott David Fedosky, MD

Practitioner General Practice Physician Springdale, AR

Practice location

Address
5230 Willow Creek Dr STE 201, Springdale, AR 72762-0899
Phone
(479) 927-3131
Fax
(479) 927-3131
Mailing address
PO Box 6220, Springdale, AR 72766-6220

Registered specialties

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence E 0546 (AR)

Registry record

NPI
1710993654
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Jul 2006
Record last updated
13 Jul 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.