Individual provider · Type 1 NPI
Hessel Kooistra Iii, MD
General Practice Physician · Fayetteville, AR
NPI number
1053754622
Active
Practice location
10971 Rocky Creek Rd
Fayetteville, AR 72701-0614
Mailing address
10975 Rocky Creek Rd
Fayetteville, AR 72701-0614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | E-2570 (AR) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
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About NPI 1053754622
Hessel Kooistra Iii, MD's National Provider Identifier is 1053754622, issued on Apr 12, 2013. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fayetteville, AR. The record was last updated on Apr 12, 2013.