Individual
MELANIE RACHELL PEARCE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
55 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1825
(479) 442-6266
(479) 521-3877
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 571-6038
(479) 582-0222
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
4431
OK
2085R0202X
Diagnostic Radiology Physician
Primary
E-18566
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200189070B
—
OK
Enumeration date
02/06/2007
Last updated
02/18/2025
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