# FORT SMITH RHEUMATOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144754797
- **Authorized official:** KAREN HART (OFFICE MANAGER)
- **Authorized official phone:** (479) 755-6900

## Contact information

- **Practice address:** 508 W RAY FINE BLVD, ROLAND, OK 74954-5262
- **Practice address phone:** (479) 806-8538
- **Mailing address:** 1501 S WALDRON RD STE 202, FORT SMITH, AR 72903-2598
- **Mailing address phone:** (479) 755-6900
- **Mailing address fax:** (479) 755-6903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 04/19/2017
- **Last updated:** 01/13/2021