Organization
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Active
Other names
AHEC Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE RICHARDSON (CLINIC MANAGER)
(479) 785-2431
Entity
Organization
Contact information
Practice address
612 S 12TH ST, FORT SMITH, AR 72901-4702
(479) 785-2431
(479) 494-7787
Mailing address
612 S 12TH ST, FORT SMITH, AR 72901-4702
(479) 785-2431
(479) 494-7787
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159360762
—
AR
Enumeration date
07/20/2012
Last updated
07/20/2012
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