Organization
SOUTHWEST NEUROLOGICL INSTITUTE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM L GRIGGS III MD (OWNER)
(479) 784-9800
Entity
Organization
Contact information
Practice address
3011 JENNY LIND RD, FORT SMITH, AR 72901
(479) 784-9800
(479) 784-9817
Mailing address
P.O. BOX 3890, FORT SMITH, AR 72913
(479) 784-9800
(479) 784-9817
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136522002
—
AR
Enumeration date
08/13/2008
Last updated
08/13/2008
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