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Individual

MR. LEE WALTER THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
901 SE PLAZA AVE STE 5, BENTONVILLE, AR 72712-5473
(479) 273-3376
(479) 273-3468
Mailing address
901 SE PLAZA AVE STE 5, BENTONVILLE, AR 72712-5473
(479) 273-3376
(479) 273-3468

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
08/27/2009
Last updated
09/04/2025
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