Organization
SOUTHWEST NEUROLOIGICAL INSTITUTE,PA
Active
Organization
SOUTHWEST NEUROLOIGICAL INSTITUTE,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM L GRIGGS III MD (OWNER)
(479) 784-9800
Entity
Organization
Contact information
Practice address
3011 JENNY LIND RD, FORT SMITH, AR 72901-6736
(479) 784-9800
(479) 784-9817
Mailing address
3011 JENNY LIND RD, FORT SMITH, AR 72901-6736
(479) 784-9800
(479) 784-9817
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
R2071
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105583001
—
AR
Enumeration date
04/27/2011
Last updated
05/09/2011
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