Organization
ALLERGY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA ANN HUTSON-FINCHER M.D. (OWNER/PHYSICIAN)
(479) 521-3363
Entity
Organization
Contact information
Practice address
2100 N GREEN ACRES RD, SUITE A, FAYETTEVILLE, AR 72703-2807
(479) 521-3363
(479) 521-4167
Mailing address
2100 N GREEN ACRES RD, SUITE A, FAYETTEVILLE, AR 72703-2807
(479) 521-3363
(479) 521-4167
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57177
CLINIC BCBS PROV #
AR
01
—
CS3629
CLINIC RAILROAD MC #
AR
Enumeration date
05/08/2006
Last updated
08/22/2020
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