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Organization

DSW ANESTHESIA SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DONOVAN S WILLIS CRNA (OWNER)
(479) 462-2859
Entity
Organization

Contact information

Practice address
3002 ROGERS AVE, FORT SMITH, AR 72901-4232
(479) 785-2555
(479) 785-3555
Mailing address
PO BOX 11405, FORT SMITH, AR 72917-1405
(479) 785-2555
(479) 785-3555

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C01497
AR

Other

Enumeration date
03/03/2009
Last updated
03/03/2009
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