Organization · Type 2 NPI

Board Certified Plastic Surgeon, P.a.

Specialist · Fort Smith, AR

NPI number 1437283983 Active

Practice location

2717 S 74th St
Fort Smith, AR 72903-5100

Call (479) 452-9080 Map

Fax (479) 452-7014

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XC4716 (AR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1437283983

Board Certified Plastic Surgeon, P.a.'s National Provider Identifier is 1437283983, issued on Mar 15, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Smith, AR. The record was last updated on Dec 31, 2008.