Organization
PHYSICIANS' SPECIALTY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARYLE R. GREENE R.N. (CEO)
(479) 571-7001
Entity
Organization
Contact information
Practice address
3873 N. PARKVIEW DRIVE, FAYETTEVILLE, AR 72703-6286
(479) 571-7070
(579) 571-7090
Mailing address
3873 N. PARKVIEW DRIVE, FAYETTEVILLE, AR 72703-6286
(479) 571-7070
(579) 571-7090
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180190105
—
AR
Enumeration date
03/28/2013
Last updated
03/28/2013
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