Individual
REBEKAH GRACE BALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1651 E STEARNS ST STE 110, FAYETTEVILLE, AR 72703-6196
(479) 876-8550
(479) 208-4266
Mailing address
1651 E STEARNS ST STE 110, FAYETTEVILLE, AR 72703-6196
(479) 876-8550
(479) 208-4266
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
E-11420
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E-11420
MEDICAL LICENSE
AR
Enumeration date
06/19/2014
Last updated
11/03/2025
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