Individual
FREDERICK MICHAEL ISAACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(870) 219-9493
Mailing address
410 MALLARD DR, JONESBORO, AR 72401-7138
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E-9904
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2011
Last updated
09/18/2017
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