Organization
PREMIER ANESTHESIA OF ARKANSAS PROFESSIONAL CORPORATION
Active
Parent organization
PREMIER ANESTHESIA LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIER ANESTHESIA LLC
Authorized official
RANDY WALKER (VP FINANCE)
(678) 690-7812
Entity
Organization
Contact information
Practice address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(404) 941-1210
(404) 941-1304
Mailing address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(855) 220-3662
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
05/06/2014
Last updated
05/05/2026
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