Organization
COLON & RECTAL SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM B NOWLIN M.D. (PRESIDENT)
(479) 443-9443
Entity
Organization
Contact information
Practice address
3000 N MARKET AVE, SUITE D, FAYETTEVILLE, AR 72703-3514
(479) 443-9443
(479) 443-4895
Mailing address
3000 N MARKET AVE, SUITE D, FAYETTEVILLE, AR 72703-3514
(479) 443-9443
(479) 443-4895
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
MC-1354
AR
Other
Enumeration date
07/01/2006
Last updated
08/22/2020
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