institution
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. You can also correspond with Board Certified Plastic Surgeon, P.a. through the mailing address at 2717 S 74TH ST, FORT SMITH, AR - 72903-5100 (mailing address contact number: 479-452-9080).

Location: 2717 S 74Th St, Fort Smith, AR, 72903-5100
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
State
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
State
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
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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