Individual
REAGAN ELIZABETH HUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 SE MOBERLY LN, BENTONVILLE, AR 72712-7017
(479) 521-2752
(479) 521-4603
Mailing address
3317 N WIMBERLY DR, FAYETTEVILLE, AR 72703-4056
(479) 521-2752
(479) 521-4603
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
PA-1246
AR
363A00000X
Physician Assistant
Primary
PA-1246
AR
Other
Enumeration date
06/14/2022
Last updated
06/04/2025
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