Organization
FAYETTEVILLE PLASTIC SURGERY CLINIC
Active
Other names
Plastic Surgery Clinic of Northwest Arkansas
Organization subpart
No
Provider details
NPI number
Authorized official
MS. C RENEE SANDLIN (ADMINISTRATOR)
(479) 443-7771
Entity
Organization
Contact information
Practice address
1794 E JOYCE BLVD, SUITE 1, FAYETTEVILLE, AR 72703-5256
(479) 443-7771
(479) 443-7790
Mailing address
1794 E JOYCE BLVD, SUITE 1, FAYETTEVILLE, AR 72703-5256
(479) 443-7771
(479) 443-7790
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R3739
AR
Other
Enumeration date
10/18/2007
Last updated
10/25/2007
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