Individual
WILLIAM J. BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3215 N. NORTH HILLS BLVD., FAYETTEVILLE, AR 72703
(479) 463-7102
(479) 463-7864
Mailing address
12 EAST APPLEBY ROAD, SUITE 102, FAYETTEVILLE, AR 72703
(479) 463-7102
(479) 463-7864
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C7251
AR
208M00000X
Hospitalist Physician
Primary
C-7251
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117816001
—
AR
Enumeration date
06/12/2006
Last updated
05/10/2017
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