Individual
GARNEY H FENDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3215 N. NORTH HILLS BLVD, FAYETTEVILLE, AR 72703-4424
(479) 463-7102
(479) 463-7864
Mailing address
PO BOX 550, LOWELL, AR 72745
(479) 463-7775
(479) 463-7187
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E-5788
AR
2085R0202X
Diagnostic Radiology Physician
MD.204733
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07933517
—
MS
05
—
2156527
—
LA
Enumeration date
04/09/2007
Last updated
08/01/2018
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