Organization
WASHINGTON REGIONAL MEDICAL SYSTEM
Active
Other names
Washington Regional Family Clinic - Farmington
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL R ECKELS (SENIOR VICE PRESIDENT AND CFO)
(479) 463-6026
Entity
Organization
Contact information
Practice address
199 E MAIN ST, FARMINGTON, AR 72730-3077
(479) 267-1001
(479) 267-1026
Mailing address
12 E APPLEBY RD, CLINIC ADMINISTRATION, FAYETTEVILLE, AR 72703-3901
(479) 463-1704
(479) 463-7864
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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