Individual
SARAH AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3307 N DIXIELAND RD, ROGERS, AR 72756-6816
(479) 986-5190
Mailing address
830 S ROSE AVE, FAYETTEVILLE, AR 72701-6394
(678) 471-4707
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTR2772
AR
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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