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Board Certified Plastic Surgeon, P.a.
Specialist in Fort Smith, Arkansas
NPI 1437283983

Board Certified Plastic Surgeon, P.a. is a Specialist based in Fort Smith, AR. Board Certified Plastic Surgeon, P.a. practices in Fort Smith, AR. The NPI Number for Board Certified Plastic Surgeon, P.a. is 1437283983 and holds a License No. C4716 (Arkansas).

The current practice location address for Board Certified Plastic Surgeon, P.a. is 2717 S 74Th St, Fort Smith, AR and can be reached out via phone at 479-452-9080 and via fax at 479-452-7014.

Location: 2717 S 74Th St, Fort Smith, AR, 72903-5100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437283983
Provider Name
Board Certified Plastic Surgeon, P.a.
Credential
Provider Entity Type
Organization
Address
2717 S 74Th St, Fort Smith, AR, 72903-5100
Phone Number
479-452-9080
Fax Number
479-452-7014
Provider Enumeration Date
03/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
105795001 05 AR
institution
Provider Business Practice Location Address Details
Address
2717 S 74Th St
City
Fort Smith
State
Arkansas
Zip
72903-5100
Phone Number
479-452-9080
Fax Number
479-452-7014
person
Provider Business Mailing Address Details
Address
2717 S 74Th St
City
Fort Smith
State
Arkansas
Zip
72903-5100
Phone Number
479-452-9080
Fax Number
479-452-7014
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
C4716 (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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