Washington Regional Medical System
Obstetrics & Gynecology, Maternal & Fetal Medicine in Fayetteville, AR. Organization (NPI-2).
NPI number1497323554
StatusActive
Last updated in NPPESJun 15, 2021
Details
- NPI
- 1497323554
- Entity type
- Organization (NPI-2)
- Legal business name
- Washington Regional Medical System
- Organization subpart
- No
- Enumeration date
- Jun 15, 2021
- Certification date
- Jun 15, 2021
- Last updated
- Jun 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VM0101X | Obstetrics & Gynecology, Maternal & Fetal Medicine | – | – | Yes |
Other names
- Washington Regional Maternal Fetal Medicine Clinic (Doing Business As)
Practice location
3215 N. Northhills Blvd.Fayetteville, AR 72703
Phone 479-463-2935 · Fax 479-463-2936
Mailing address
Po Box 550Lowell, AR 72745
Phone 479-463-7775 · Fax 479-463-7187
Authorized official
Daniel R Eckels
Cfo
4794632825
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