363LA2100X
Fayetteville, AR
Specialty
363LA2100X
NPI
1922566785
3344 N. Futrall Dr., Fayetteville, AR 72703
(479) 439-4959Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 363la2100x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LA2100X