Dr. Agyenim Boateng Amoako, M.D.
Family Medicine in Fayetteville, AR. Individual provider (NPI-1).
NPI number1205190154
StatusActive
Last updated in NPPESMay 5, 2015
Details
- NPI
- 1205190154
- Entity type
- Individual (NPI-1)
- Name
- Dr. Agyenim Boateng Amoako
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 26, 2012
- Last updated
- May 5, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | E-8653 | AR | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | E-8653 | AR |
Practice location
1125 N College AveFayetteville, AR 72703-1908
Phone 479-521-8260
Mailing address
1125 N College AveFayetteville, AR 72703-1908
Phone 479-521-8260
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