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82 W Sunbridge Dr Fayetteville AR 72703-1822 | |
(479) 463-7400 | |
(479) 463-7413 |
Full Name | |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 82 W Sunbridge Dr, Fayetteville, Arkansas |
Authorized Official Name and Position | William L Bradley (CEO) |
Authorized Official Contact | 4794636300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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82 W Sunbridge Dr Fayetteville AR 72703-1822 Ph: (479) 463-7400 | 82 W Sunbridge Dr Fayetteville AR 72703-1822 Ph: (479) 463-7400 |
NPI Number | 1255758868 |
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Provider Enumeration Date | 03/20/2014 |
Last Update Date | 03/20/2014 |
Identifier | Type | State | Issuer |
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1255758868 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | 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 | |