Individual
BRANDI E GUTHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 DODSON AVE, STE 195, FORT SMITH, AR 72901-5182
(479) 573-7910
(479) 573-2584
Mailing address
PO BOX 11449, BELFAST, ME 04915-4005
(479) 709-1924
(479) 709-7499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E6427
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200231980A
—
OK
01
—
440163401
ARKANSAS MEDICAID RX
—
Enumeration date
07/17/2007
Last updated
11/23/2016
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