# WASHINGTON REGIONAL MEDICAL SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cardiovascular Surgical Clinic of Northwest Arkansas Washington Regional, Cardiovascular Surgical of Northwest Arkansas Washington Regional
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356842884
- **Authorized official:** DANIEL R ECKELS (CFO)
- **Authorized official phone:** (479) 463-2825

## Contact information

- **Practice address:** 3276 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4005
- **Practice address phone:** (479) 587-1114
- **Practice address fax:** (479) 587-1119
- **Mailing address:** 54 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1822
- **Mailing address phone:** (479) 463-2597
- **Mailing address fax:** (479) 463-2599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2018
- **Last updated:** 06/16/2018