Individual provider · Type 1 NPI

Ryan David Mantooth, MD

Emergency Medicine Physician · Fayetteville, AR

NPI number 1114450822 Active

Practice location

3215 N North Hills Blvd.
Fayetteville, AR 72703

Call (479) 463-7102 Map

Fax (479) 463-5987

Mailing address

PO Box 550
Lowell, AR 72745-1900

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000XE-13154 (AR)
Emergency Medicine Physician 207P00000XMD.37708 (AL)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1114450822

Ryan David Mantooth, MD's National Provider Identifier is 1114450822, issued on Apr 10, 2017. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Fayetteville, AR. The record was last updated on Apr 9, 2021.