institution
Ent And Allergy Center, Pa
Specialist in Fayetteville, Arkansas
NPI 1881690238

Ent And Allergy Center, Pa is a Specialist based in Fayetteville, AR. Ent And Allergy Center, Pa practices in Fayetteville, AR. The NPI Number for Ent And Allergy Center, Pa is 1881690238 and holds a License No. MC2362 (Arkansas).

The current practice location address for Ent And Allergy Center, Pa is 2100 N Green Acres Rd, Fayetteville, AR and can be reached out via phone at 479-521-0455 and via fax at 479-444-9722.

Location: 2100 N Green Acres Rd, Fayetteville, AR, 72703-2807
institution
Provider Profile Details
NPI Number
1881690238
Provider Name
Ent And Allergy Center, Pa
Credential
Provider Entity Type
Organization
Address
2100 N Green Acres Rd, Fayetteville, AR, 72703-2807
Phone Number
479-521-0455
Fax Number
479-444-9722
Provider Enumeration Date
06/21/2005
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
312133002 05 AR
MC2362 01 AR MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2100 N Green Acres Rd
City
State
Zip
72703-2807
Phone Number
479-521-0455
Fax Number
479-444-9722
person
Provider Business Mailing Address Details
Address
2100 N Green Acres Rd
City
State
Zip
72703-2807
Phone Number
479-521-0455
Fax Number
479-444-9722
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MC2362 (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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