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Individual

JOSEPH LEE SPEAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1000 S. WALDRON ROAD, FORT SMITH, AR 72903-4100
(479) 221-9922
(479) 221-9988
Mailing address
1000 S WALDRON RD, FORT SMITH, AR 72903-2550
(479) 221-9922

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP10037266
TX
207Q00000X
Family Medicine Physician
Primary
E-9277
AR
207Q00000X
Family Medicine Physician
P0795
TX

Other

Enumeration date
04/15/2010
Last updated
02/24/2017
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