Organization
ACADEMIC PHYSICIANS SPECIALTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CALVIN J SMITH (ADMINISTRATOR)
(479) 684-5191
Entity
Organization
Contact information
Practice address
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1908
(479) 684-5191
(479) 571-1801
Mailing address
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1908
(479) 684-5191
(479) 571-1801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/01/2012
Last updated
05/10/2012
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