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207 N College Ave Fayetteville AR 72701-4238 | |
(479) 301-2307 | |
(479) 301-2328 |
Full Name | |
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Speciality | Clinic/center |
Location | 207 N College Ave, Fayetteville, Arkansas |
Authorized Official Name and Position | Jana Lynn Brady (OWNER/ACUPUNCTURIST) |
Authorized Official Contact | 4793012307 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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207 N College Ave Fayetteville AR 72701-4238 Ph: (479) 301-2307 | 207 N College Ave Fayetteville AR 72701-4238 Ph: (479) 301-2307 |
NPI Number | 1407108962 |
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Provider Enumeration Date | 10/09/2012 |
Last Update Date | 10/09/2012 |
Identifier | Type | State | Issuer |
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1407108962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 061 (Arkansas) | Primary |
K E Management Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 E Augustine Ln Ste 7, Fayetteville, AR 72703 Phone: 479-200-9812 Fax: 866-243-7203 | |
Arcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1792 E Joyce Blvd, Fayetteville, AR 72703 Phone: 501-500-5001 Fax: 501-500-5001 | |