| Well Life Family Medicine Inc | |
|
1623 Rogers Ave Fort Smith AR 72901-3826 | |
| (479) 782-6318 | |
| (479) 782-7028 |
| Full Name | Well Life Family Medicine Inc |
|---|---|
| Speciality | General Practice |
| Location | 1623 Rogers Ave, Fort Smith, Arkansas |
| Authorized Official Name and Position | Bryan K Ledbetter (D.O./ OWNER) |
| Authorized Official Contact | 4797826318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Well Life Family Medicine Inc 1623 Rogers Ave Fort Smith AR 72901-3826 Ph: (479) 782-6318 | Well Life Family Medicine Inc 1623 Rogers Ave Fort Smith AR 72901-3826 Ph: (479) 782-6318 |
| NPI Number | 1063903748 |
|---|---|
| Provider Enumeration Date | 05/29/2018 |
| Last Update Date | 05/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063903748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | T2018-104 (Arkansas) | Primary |
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