Individual
ALYSSA NICOLE WENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
623 E MATTHEWS AVE, JONESBORO, AR 72401-3145
(870) 932-2211
(870) 972-5152
Mailing address
623 E MATTHEWS AVE, JONESBORO, AR 72401-3145
(870) 932-2211
(870) 972-5152
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
E3439
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159061001
—
AR
Enumeration date
06/30/2006
Last updated
06/09/2010
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