Individual provider · NPI-1

Jade Robert Alfasi, MD

Family Medicine · Fayetteville, AR

NPI number1457046302
StatusActive
Last updated in NPPESJul 14, 2025

Details

NPI
1457046302
Entity type
Individual (NPI-1)
Name
Jade Robert Alfasi
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 6, 2023
Certification date
Jul 14, 2025
Last updated
Jul 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineE-19058ARYes
207P00000X Emergency MedicineE-19058AR

Practice location

1125 N College Ave
Fayetteville, AR 72703-1908

Phone 479-684-5170 · Fax 479-444-7820

Mailing address

1125 N College Ave
Fayetteville, AR 72703-1908

Phone 479-684-5170 · Fax 479-444-7820

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