Individual
BRIAN D. REKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(479) 463-7102
(479) 463-7864
Mailing address
12 EAST APPLEBY ROAD, FAYETTEVILLE, AR 72703
(479) 463-7102
(479) 463-7864
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2004019507
MO
208M00000X
Hospitalist Physician
Primary
E-9358
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191757
BLUE CROSS/BLUE SHIELD
—
05
—
208367508
—
MO
Enumeration date
06/15/2006
Last updated
07/21/2022
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