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Organization

WASHINGTON REGIONAL MEDICAL SYSTEM

Active
Other names
herhealth by Washington Regional
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY WILEY (EXECUTIVE DIRECTOR, SYSTEMS CLINICS)
(479) 463-1390
Entity
Organization

Contact information

Practice address
3215 N NORTH HILLS BLVD, SUITE B, FAYETTEVILLE, AR 72703
(479) 463-5500
(479) 463-5542
Mailing address
12 E APPLEBY RD, CLINICS ADMINISTRATION, FAYETTEVILLE, AR 72703-3901
(479) 463-1704
(479) 463-7864

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111898002
AR
Enumeration date
05/11/2006
Last updated
02/04/2010
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