Organization
PHOENIX HEALTH ASSOCIATES OF FORT SMITH
Active
Other names
Physicians' Day Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH J BOLYARD M. D. (CHAIRMAN, GOVERNING BODY)
(479) 709-7272
Entity
Organization
Contact information
Practice address
3601 W E KNIGHT DRIVE, FORT SMITH, AR 72903
(479) 709-7272
Mailing address
PO BOX 10626, FORT SMITH, AR 72917-0626
(479) 709-7272
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AR4378
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163231128
—
AR
05
—
200107730A
—
OK
Enumeration date
11/28/2006
Last updated
05/13/2008
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