Individual
DR. WILLIAM TALLEY SUMMERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 W MCNELLY RD, SUITE 15, BENTONVILLE, AR 72712-9159
(479) 273-5020
(479) 273-5074
Mailing address
15 DEVIZIS DR, BELLA VISTA, AR 72714-3820
(479) 876-5430
(479) 876-2457
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R3798
AR
Other
Enumeration date
05/06/2007
Last updated
07/08/2007
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