Individual
GORDON RAY MUTTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.D.
Contact information
Practice address
2507 MARKET TRCE, FORT SMITH, AR 72908-8677
(479) 646-5505
(479) 646-3090
Mailing address
7700 HIGHWAY 271 S, FORT SMITH, AR 72908-8028
(479) 646-7875
(479) 646-3090
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
AR07041
AR
Other
Enumeration date
07/29/2011
Last updated
06/15/2014
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