Organization
WELL LIFE FAMILY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN K LEDBETTER D.O.,MBA (D.O./ OWNER)
(479) 782-6318
Entity
Organization
Contact information
Practice address
1623 ROGERS AVE, FORT SMITH, AR 72901-3826
(479) 782-6318
(479) 782-7028
Mailing address
1623 ROGERS AVE, FORT SMITH, AR 72901-3826
(479) 782-6318
(479) 782-7028
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
T2018-104
AR
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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