Fort Smith Physican Group | |
10301 Mayo Dr Barling AR 72923-1660 | |
(479) 494-5760 | |
(479) 484-8142 |
Full Name | Fort Smith Physican Group |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 10301 Mayo Dr, Barling, Arkansas |
Authorized Official Name and Position | Brian P. Farley (VP & SECRETARY) |
Authorized Official Contact | 6158616000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fort Smith Physican Group 4253 N Crossover Rd Fayetteville AR 72703-4593 Ph: (479) 521-5731 | Fort Smith Physican Group 10301 Mayo Dr Barling AR 72923-1660 Ph: (479) 494-5760 |
NPI Number | 1225244676 |
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Provider Enumeration Date | 05/15/2007 |
Last Update Date | 08/27/2023 |
Certification Date | 08/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225244676 | NPI | - | NPPES |
163665002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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