Individual
LINDA M EKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
117 E SYCAMORE ST, FAYETTEVILLE, AR 72703-2540
(479) 521-0200
(479) 521-4942
Mailing address
PO BOX 3531, FAYETTEVILLE, AR 72702-3531
(479) 521-0200
(479) 521-4942
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
N-7604
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5K613
AR BC/BS
AR
Enumeration date
06/25/2006
Last updated
12/12/2011
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