Individual
HEATHER L O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 DODSON AVE, FORT SMITH, AR 72901-5182
(479) 441-2600
(479) 441-2694
Mailing address
1500 DODSON AVE, FORT SMITH, AR 72901-5182
(479) 441-2600
(479) 441-2694
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-5010
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165710001
—
AR
05
—
200124390 A
—
OK
01
—
5N918
BLUE CROSS BLUE SHIELD
AR
01
—
883158
HEALTHLINK
AR
01
—
P00619626
RAIL ROAD MEDICARE
—
Enumeration date
09/21/2006
Last updated
06/17/2016
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