Organization
WELLNESS AND SPECIAL NEEDS CLINIC OF WEST ARKANSAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN GREGORY GIBBONS MD (OWNER)
(479) 883-0240
Entity
Organization
Contact information
Practice address
8405 S ZERO ST STE C, FORT SMITH, AR 72903-7050
(479) 883-0240
(479) 782-3974
Mailing address
8405 S ZERO ST STE C, FORT SMITH, AR 72903-7050
(479) 883-0240
(479) 782-3974
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
E-3378
AR
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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