Individual
LYLE UTTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2710 S RIFE MEDICAL LN, ROGERS, AR 72758-1452
(913) 642-4900
Mailing address
975 N EASTWOOD DR, FAYETTEVILLE, AR 72701-2317
(417) 499-5012
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
228170
AR
Other
Enumeration date
10/16/2023
Last updated
06/28/2024
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