Individual
RYAN A HUETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4962 ELM SPRINGS RD # ARW5, SPRINGDALE, AR 72762-3712
(479) 318-0161
(479) 318-0162
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(314) 543-6979
(314) 364-6321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-7604
AR
Other
Enumeration date
04/01/2009
Last updated
12/10/2024
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