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Individual

AMIR AMIDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3017 S 70TH ST STE G, FORT SMITH, AR 72903-5000
(479) 802-4068
Mailing address
3017 S 70TH ST STE FGH, FORT SMITH, AR 72903-5049
(479) 802-4068
(479) 315-5914

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
E-16590
AR
261QP3300X
Pain Clinic/Center
Primary
E-16590
AR

Other

Enumeration date
04/02/2020
Last updated
11/15/2023
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