Organization
SHILOH HEALTH AND LONGEVITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. H. DANIEL ATWOOD MD (OWNER)
(479) 443-7771
Entity
Organization
Contact information
Practice address
1794 E JOYCE BLVD STE 1, FAYETTEVILLE, AR 72703-5257
(479) 443-7771
Mailing address
1794 E JOYCE BLVD STE 1, FAYETTEVILLE, AR 72703-5257
(479) 443-7771
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
R-3739
AR
Other
Enumeration date
06/26/2017
Last updated
07/21/2022
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