Individual
MS. DOROTHEE S MECUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3425 N FUTRALL DR STE 103, FAYETTEVILLE, AR 72703-4820
(479) 332-0700
(479) 332-0701
Mailing address
3425 N FUTRALL DR STE 103, FAYETTEVILLE, AR 72703-4820
(479) 332-0700
(479) 332-0701
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E-8373
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209873001
—
AR
Enumeration date
04/05/2010
Last updated
10/03/2022
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