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NPI Provider: 1881690238
Contact Name: Fincher Glen Grady
Position: Owner President
Phone: (479) 521-0455
Ear Nose Throat Head & Neck Surgery Center Information:
Ear Nose Throat Head & Neck Surgery Center organization have npi 1881690238, taxonomy code is 174400000X with license number is MC2362 in . This Business address located in 2100 N Green Acres Rd, Fayetteville, AR 72703 Arkansas. Get directions of Ear Nose Throat Head & Neck Surgery Center.
Practice Location
Address: 2100 N Green Acres Rd, Fayetteville, AR 72703
Phone: (479) 521-0455
Business Location
Address: 2100 N Green Acres Rd, Fayetteville, AR 72703
Phone: (479) 521-0455
Fax: (479) 444-9722
Taxonomy
Taxonomy Code: 174400000X
License Number: MC2362
License Number of State: AR
Primary Taxonomy Switch: Y
Enumeration Date: 6/21/2005
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