Organization
J MICHAEL STANDEFER MD PA
Active
Organization
J MICHAEL STANDEFER MD PA
Active
Other names
Neurosurgical Associates PLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MICHAEL STANDEFER MD (OWNER)
(479) 785-3400
Entity
Organization
Contact information
Practice address
520 LEXINGTON AVE, FORT SMITH, AR 72901-4641
(479) 785-3400
(479) 785-2295
Mailing address
520 LEXINGTON AVE, FORT SMITH, AR 72901-4641
(479) 785-3400
(479) 785-2295
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F197
BCBS
AR
Enumeration date
08/03/2005
Last updated
07/21/2022
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