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Organization
PHOENIX HEALTH ASSOCIATES OF FORT SMITH
Active
Organization
PHOENIX HEALTH ASSOCIATES OF FORT SMITH
Active
Other names
Physicians' Day Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH J BOLYARD M. D. (CHAIRMAN, GOVERNING BODY)
(479) 709-7272
Entity
Organization
Contact information
Practice address
3601 W E KNIGHT DRIVE, FORT SMITH, AR 72903
(479) 709-7272
Mailing address
PO BOX 10626, FORT SMITH, AR 72917-0626
(479) 709-7272
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AR4378
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163231128
—
AR
05
—
200107730A
—
OK
Enumeration date
11/28/2006
Last updated
05/13/2008
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