Organization
OPTIMUM AGING & INTEGRATED MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY L HOYT D.O (OWNER)
(479) 784-0011
Entity
Organization
Contact information
Practice address
2641 ROGERS AVE, FORT SMITH, AR 72901-4145
(479) 784-0011
(479) 784-0012
Mailing address
PO BOX 7132, VAN BUREN, AR 72956-0124
(479) 784-0011
(479) 784-0012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2789
OK
207Q00000X
Family Medicine Physician
Primary
E-2638
AR
Other
Enumeration date
01/04/2013
Last updated
05/14/2013
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