institution
Ozark Dermatology Clinic
Specialist in Fayetteville, Arkansas
NPI 1134207483

Ozark Dermatology Clinic is a Specialist based in Fayetteville, AR. Ozark Dermatology Clinic practices in Fayetteville, AR. The NPI Number for Ozark Dermatology Clinic is 1134207483 and holds a License No. (Arkansas).

The current practice location address for Ozark Dermatology Clinic is 4375 N. Vantage Drive, Fayetteville, AR and can be reached out via phone at 479-443-5100 and via fax at 479-443-5117.

Location: 4375 N. Vantage Drive, Fayetteville, AR, 72703-4984
institution
Provider Profile Details
NPI Number
1134207483
Provider Name
Ozark Dermatology Clinic
Credential
Provider Entity Type
Organization
Address
4375 N. Vantage Drive, Fayetteville, AR, 72703-4984
Phone Number
479-443-5100
Fax Number
479-443-5117
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7897701 01 AR AETNA
14568002 05 AR
institution
Provider Business Practice Location Address Details
Address
4375 N. Vantage Drive
City
State
Zip
72703-4984
Phone Number
479-443-5100
Fax Number
479-443-5117
person
Provider Business Mailing Address Details
Address
4375 N. Vantage Drive
City
State
Zip
72703-4984
Phone Number
479-443-5100
Fax Number
479-443-5117
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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