Individual
DR. EUGENE FONTAINE STILL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8416 MILE TREE DR, FORT SMITH, AR 72903-4319
(479) 478-9936
Mailing address
8416 MILE TREE DR, FORT SMITH, AR 72903-4319
(479) 478-9936
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
19206
OK
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
C-4058
AR
Other
Enumeration date
12/25/2009
Last updated
12/25/2009
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