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Organization
COMMONWELL CLINIC, P.A.
Active
Organization
COMMONWELL CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROWLAND STEWART MD (PRESIDENT)
(479) 388-0400
Entity
Organization
Contact information
Practice address
1501 S WALDRON RD STE 200, FORT SMITH, AR 72903-2565
(479) 388-0400
(479) 388-0401
Mailing address
1501 S WALDRON RD STE 201, FORT SMITH, AR 72903-2565
(479) 388-0400
(479) 388-0401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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