# WASHINGTON REGIONAL MEDICAL SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Washington Regional Endocrinology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255758868
- **Authorized official:** MR. WILLIAM L BRADLEY (CEO)
- **Authorized official phone:** (479) 463-6300

## Contact information

- **Practice address:** 82 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1822
- **Practice address phone:** (479) 463-7400
- **Practice address fax:** (479) 463-7413
- **Mailing address:** 82 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1822
- **Mailing address phone:** (479) 463-7400
- **Mailing address fax:** (479) 463-7413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2014
- **Last updated:** 03/20/2014