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NPI Verification

National Provider Identifier: 1073809158

Marielie Heidi Agesilas, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

1125 N COLLEGE AVE

FAYETTEVILLE, AR 727031908

Phone: 479-521-8260

NPI Enumeration Date

June 27, 2011

NPI Number

1073809158

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry