Individual
MICHAEL ALAN ECKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3344 N FUTRALL DR, FAYETTEVILLE, AR 72703
(479) 521-8200
(479) 582-7310
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 571-6038
(479) 582-0222
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
E-2694
AR
207RP1001X
Pulmonary Disease Physician
E-2694
AR
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
E-2694
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158828001
—
AR
05
—
200070290A
—
OK
01
—
5N380
AR BC/BS
AR
01
—
P00272713
RR MCR
AR
Enumeration date
06/29/2006
Last updated
12/27/2021
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