Organization
WASHINGTON REGIONAL MEDICAL SYSTEM
Active
Other names
WR Ozark Urology
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ECKELS (CFO)
(479) 463-2825
Entity
Organization
Contact information
Practice address
3 E APPLEBY RD, SUITE 201, FAYETTEVILLE, AR 72703
(479) 404-1100
(479) 404-1101
Mailing address
PO BOX 550, LOWELL, AR 72745-0550
(479) 463-7775
(479) 463-7187
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179183002
—
AR
Enumeration date
01/07/2009
Last updated
09/05/2019
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