Individual
JADE ROBERT ALFASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1908
(479) 684-5170
(479) 444-7820
Mailing address
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1908
(479) 684-5170
(479) 444-7820
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E-19058
AR
207Q00000X
Family Medicine Physician
Primary
E-19058
AR
Other
Enumeration date
04/06/2023
Last updated
07/14/2025
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