Individual
JOEL B. FANKHAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2103 S 54TH ST, SUITE 1, ROGERS, AR 72758-8169
(479) 268-4504
Mailing address
2103 S 54TH ST, SUITE 1, ROGERS, AR 72758-8169
(479) 268-4504
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
E-6417
AR
Other
Enumeration date
04/12/2007
Last updated
05/14/2015
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