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Individual

JOHN MATHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(479) 763-1000
Mailing address
4427 W COLLINS CIR, ROGERS, AR 72758-9040
(479) 276-5727

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
221274
AR

Other

Enumeration date
06/23/2022
Last updated
07/14/2022
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