Organization
FAYETTEVILLE ANESTHESIA ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYMAN ELFAR MD (MEMBER/MANAGER)
(941) 360-1566
Entity
Organization
Contact information
Practice address
1905 E MISSION BLVD STE 5, FAYETTEVILLE, AR 72703-3129
(479) 439-4959
(479) 332-4494
Mailing address
PO BOX 4443, SPRINGFIELD, IL 62708-4443
(941) 360-1566
(941) 358-9818
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
10/23/2020
Last updated
02/26/2021
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