Organization
WASHINGTON REGIONAL MEDICAL SYSTEM
Active
Other names
Northwest Arkansas Neuroscience Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL ECKELS (SENIOR VICE PRESIDENT/CFO)
(479) 463-1704
Entity
Organization
Contact information
Practice address
3336 N FUTRALL DR, FAYETTEVILLE, AR 72703-4057
(479) 463-3000
(479) 469-3050
Mailing address
12 E APPLEBY RD, CLINIC ADMINISTRATION, FAYETTEVILLE, AR 72703-3901
(479) 463-1704
(479) 463-7864
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176277002
—
AR
Enumeration date
03/13/2008
Last updated
12/17/2009
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