Individual
DR. MICHAEL P GWARTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6801 ROGERS AVE, FORT SMITH, AR 72903-4067
(479) 274-3900
(479) 274-3979
Mailing address
PO BOX 3528, FORT SMITH, AR 72913-3528
(479) 274-2000
(479) 274-2194
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
N-7222
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040006395
RR MEDICARE
—
05
—
113772001
—
AR
Enumeration date
07/18/2006
Last updated
08/28/2015
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