Individual
DR. BARRY KEITH WETSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(479) 968-7930
(479) 968-4331
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811
(479) 968-7930
(479) 968-4331
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E-4573
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158399003
—
AR
05
—
200063050A
—
OK
Enumeration date
05/04/2006
Last updated
06/10/2010
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