364S00000X
Fayetteville, AR
Specialty
364S00000X
Credential
APRN
NPI
1164956199
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 364s00000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 364S00000X