Organization
WASHINGTON REGIONAL MEDICAL SYSTEM
Active
Other names
Washington Regional Internal Medicine Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM L BRADLEY (CEO)
(479) 463-6003
Entity
Organization
Contact information
Practice address
688 E MILLSAP RD, FAYETTEVILLE, AR 72703-4095
(479) 463-3070
(479) 463-3077
Mailing address
688 E MILLSAP RD, FAYETTEVILLE, AR 72703-4095
(479) 463-3070
(479) 463-3077
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E4712
AR
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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