Washington Regional Medical System
Neurological Surgery in Fayetteville, AR. Organization (NPI-2).
NPI number1851754345
StatusActive
Last updated in NPPESJun 27, 2018
Details
- NPI
- 1851754345
- Entity type
- Organization (NPI-2)
- Legal business name
- Washington Regional Medical System
- Organization subpart
- Yes
- Enumeration date
- Apr 1, 2016
- Last updated
- Jun 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | – | – | Yes |
Other names
- Northwest Arkansas Neurosurgery Clinic - Washington Regional (Doing Business As)
Practice location
3561 Johnson Mill BlvdSuite 101
Fayetteville, AR 72704
Phone 479-404-4500 · Fax 479-404-4510
Mailing address
3561 Johnson Mill BlvdSuite 101
Fayetteville, AR 72704
Phone 479-404-4500 · Fax 479-404-4510
Authorized official
Daniel R Eckels
Cfo
4794632825
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