Organization
WASHINGTON REGIONAL MEDICAL SYSTEM
Active
Parent organization
WASHINGTON REGIONAL MEDICAL SYSTEM
Other names
Northwest Arkansas Neurosurgery Clinic - Washington Regional
Organization subpart
Yes
Provider details
NPI number
Legal business name
WASHINGTON REGIONAL MEDICAL SYSTEM
Authorized official
DANIEL R ECKELS (CFO)
(479) 463-2825
Entity
Organization
Contact information
Practice address
3561 JOHNSON MILL BLVD, SUITE 101, FAYETTEVILLE, AR 72704
(479) 404-4500
(479) 404-4510
Mailing address
3561 JOHNSON MILL BLVD, SUITE 101, FAYETTEVILLE, AR 72704
(479) 404-4500
(479) 404-4510
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
04/01/2016
Last updated
06/27/2018
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