Individual
GARY D FINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., F.A.C.C.
Contact information
Practice address
4200 JENNY LIND ROAD, SUITE A, FORT SMITH, AR 72901
(479) 484-1010
(479) 785-9916
Mailing address
PO BOX 11768, FORT SMITH, AR 72917-1768
(479) 484-1010
(479) 785-9916
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E0277
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127031003
—
AR
Enumeration date
08/09/2005
Last updated
03/20/2014
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