225200000X
Fayetteville, AR
Specialty
225200000X
Credential
PTA
NPI
1376150649
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 225200000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 225200000X