Stephen Hall Hennigan, MD - Fayetteville, AR

Stephen Hall Hennigan, MD

Specialist in Fayetteville, Arkansas

NPI 1386728996

Stephen Hall Hennigan is a Specialist based in Fayetteville, AR. Stephen Hall Hennigan practices in Fayetteville, AR and has the professional credentials of MD. The NPI Number for Stephen Hall Hennigan is 1386728996 and holds a License No. E0104 (Arkansas).

The current practice location address for Stephen Hall Hennigan is 4038 N Remington Dr Ste 4, Fayetteville, AR and can be reached out via phone at 479-444-6522.

Location: 4038 N Remington Dr Ste 4, Fayetteville, AR, 72703-6314

NPI Number

1386728996

Provider Name

Stephen Hall Hennigan

Credential

Provider Entity Type

Individual

Gender

Male

Address

4038 N Remington Dr Ste 4, Fayetteville, AR, 72703-6314

Phone Number

479-444-6522

Fax Number

Provider Enumeration Date

10/24/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
5J384	01	AR	BLUECROSS BLUE SHIELD

Address

4038 N Remington Dr Ste 4

City

Fayetteville

State

Arkansas

Zip

72703-6314

Phone Number

479-444-6522

Fax Number

Address

4038 N Remington Dr Ste 4

City

Fayetteville

State

Arkansas

Zip

72703-6314

Phone Number

479-444-6522

Fax Number

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

E0104 (Arkansas)

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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