Organization
WESTERN ARKANSAS ANESTHESIOLOGY ASSOCIATES P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN M WHITE (AUTHORIZED REPRESENTATIVE)
(479) 452-1581
Entity
Organization
Contact information
Practice address
2301 S 56TH ST, STE 110, FORT SMITH, AR 72903-3710
(479) 452-1581
(479) 452-2148
Mailing address
PO BOX 3884, FORT SMITH, AR 72913-3884
(479) 452-1581
(479) 452-2148
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119776702
—
AR
Enumeration date
06/10/2006
Last updated
08/23/2010
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