Individual
DR. PHILIP JON TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
Mailing address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-8316
AR
208M00000X
Hospitalist Physician
E-8316
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192636795
—
AR
Enumeration date
06/21/2012
Last updated
04/10/2026
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