Individual
JOHN CLIFTON FAIRCLOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1001 TOWSON AVE, FORT SMITH, AR 72901-4921
(479) 441-4000
(479) 441-3779
Mailing address
PO BOX 1983, FORT SMITH, AR 72902-1983
(479) 452-9416
(479) 242-1990
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E12135
AR
2085R0202X
Diagnostic Radiology Physician
OS20506
FL
Other
Enumeration date
04/07/2014
Last updated
03/04/2025
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