Organization · Type 2 NPI

Fayetteville Plastic Surgery Clinic

Specialist · Fayetteville, AR

NPI number 1538358247 Active

Practice location

1794 E Joyce Blvd, Suite 1
Fayetteville, AR 72703-5256

Call (479) 443-7771 Map

Fax (479) 443-7790

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XR3739 (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 1538358247

Fayetteville Plastic Surgery Clinic's National Provider Identifier is 1538358247, issued on Oct 18, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fayetteville, AR. The record was last updated on Oct 25, 2007.