Individual
MR. GERALD HOWARD FUNKHOUSER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRC CSM
Contact information
Practice address
1918 N BIRCH AVE, FAYETTEVILLE, AR 72703-2408
(479) 442-5600
(479) 442-5192
Mailing address
1918 N BIRCH AVE, FAYETTEVILLE, AR 72703-2408
(479) 442-5600
(479) 442-5192
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
908308853
AR
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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