Organization
NORTHWEST ARKANSAS GASTROENTEROLOGY CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LENEVA JENELL FERGUSON (CLINIC MANAGER)
(479) 770-2135
Entity
Organization
Contact information
Practice address
116 W MONROE AVE, LOWELL, AR 72745-9682
(479) 770-8090
(479) 770-8062
Mailing address
116 W MONROE AVE, LOWELL, AR 72745-9682
(479) 770-8090
(479) 770-8062
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/15/2007
Last updated
08/22/2020
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