Organization · Type 2 NPI

Washington Regional Medical System

Neurological Surgery Physician · Fayetteville, AR

NPI number 1104097500 Active

Practice location

3336 N Futrall Dr
Fayetteville, AR 72703-4057

Call (479) 463-3000 Map

Fax (479) 469-3050

Mailing address

12 E Appleby Rd, Clinic Administration
Fayetteville, AR 72703-3901

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed
Clinical Neurophysiology Physician 2084N0600XNone listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1104097500

Washington Regional Medical System's National Provider Identifier is 1104097500, issued on Mar 13, 2008. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Fayetteville, AR. The record was last updated on Dec 17, 2009.