Individual
DR. JOSEPH AGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
606 NORTH RAZORBACK ROAD, FAYETTEVILLE, AR 72701
(479) 575-2070
(479) 575-4507
Mailing address
430 SW MIAMI LOOP, APT 10, FAYETTEVILLE, AR 72701-7783
(479) 283-1698
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2211
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168216721
—
AR
Enumeration date
07/15/2008
Last updated
10/20/2014
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