Organization
OZARKS NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THRESA CLEMONS (CREDENTIALING SPECIALIST)
(501) 320-4818
Entity
Organization
Contact information
Practice address
4083 N SHILOH DR STE 9, FAYETTEVILLE, AR 72703-5201
(479) 439-1696
(479) 439-1998
Mailing address
4083 N SHILOH DR STE 9, FAYETTEVILLE, AR 72703-5201
(479) 439-1696
(479) 439-1998
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
07/31/2023
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