Individual
DR. WILLIAM G COUTTS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4898 HWY 178 W, LAKEVIEW, AR 72642
(870) 431-4371
(870) 431-4376
Mailing address
PO BOX 42, LAKEVIEW, AR 72642-0042
(870) 431-4371
(870) 431-4376
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E1525
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04030012400
QUALCHOICE
AR
05
—
135062001
—
AR
05
—
206107609
—
MO
01
—
5K728
BLUE CROSS
AR
01
—
A008
CHAMPUS
AR
01
—
E1525
STATE LICENSE
AR
Enumeration date
10/04/2005
Last updated
02/24/2010
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