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NPI Verification

National Provider Identifier: 1194956516

Arkansas Phs PA

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

609 SW 8TH STREET

SUITE 600

BENTONVILLE, AR 727128913

Phone: 901-261-4848

NPI Enumeration Date

August 3, 2009

NPI Number

1194956516

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
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