Individual
REBECCA MARIE PADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.B.A.
Contact information
Practice address
612 S 12TH ST, FORT SMITH, AR 72901-4702
(479) 424-3193
Mailing address
612 S 12TH ST, FORT SMITH, AR 72901-4702
(913) 636-0557
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-9587
AR
Other
Enumeration date
03/25/2013
Last updated
07/13/2016
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