Individual
DR. PHILLIP G DOERNER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(479) 463-7102
(479) 463-7864
Mailing address
PO BOX 550, LOWELL, AR 72745-0550
(479) 463-7775
(479) 463-7187
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
E-11424
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
AR
Other
Enumeration date
03/22/2016
Last updated
09/19/2019
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