Individual
MS. MONITA SPANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
7001 ROGERS AVE, SUITE 401, FORT SMITH, AR 72903-4073
(479) 452-1188
(479) 452-1196
Mailing address
11023 HUNTERS POINT RD, FORT SMITH, AR 72903-5846
(918) 688-9171
(479) 223-3369
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
F01335
OK
246ZS0410X
Surgical Technologist
F01335
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F01335
FIRST ASSISTANT CERTIFICA
OK
Enumeration date
10/19/2006
Last updated
10/01/2014
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