Organization
FAYETTEVILLE SURGICAL ASSOC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GWEN S MATHIS (CLINIC ADMINISTRATOR)
(479) 521-3300
Entity
Organization
Contact information
Practice address
3264 N. NORTH HILLS BLVD., FAYETTEVILLE, AR 72703-4005
(479) 521-3300
(479) 521-4914
Mailing address
3264 N. NORTH HILLS BLVD., FAYETTEVILLE, AR 72703-4005
(479) 521-3300
(479) 521-4914
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111799002
—
AR
Enumeration date
11/29/2006
Last updated
07/22/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us