Individual
RICHARD D MCWHORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 EAST APPLEBY RD., SUITE 201, FAYETTEVILLE, AR 72703
(479) 404-1100
(479) 404-1101
Mailing address
PO BOX 550, LOWELL, AR 72745
(479) 463-7775
(479) 463-7187
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
5276300-1205
UT
208800000X
Urology Physician
Primary
E-4543
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158172001
—
AR
05
—
200103160A
—
OK
01
—
5N289
AR BCBS
AR
01
—
P00363254
RR MCR
AR
Enumeration date
04/26/2006
Last updated
01/29/2018
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