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NPI Code Detail

MEDICARE: ARKANSAS CENTER FOR EAR NOSE THROAT & ALLERGY PA

MEDICARE: ARKANSAS CENTER FOR EAR NOSE THROAT & ALLERGY PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207YX0901XOtology & Neurotology Physician

General Provider Information

NPI Number : 1457387052
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARKANSAS CENTER FOR EAR NOSE THROAT & ALLERGY PA
Provider Business Mailing Address
First Line : 7805 PHOENIX AVE
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-5091
Country : US
Telephone Number : 479-242-4220
Fax Number : 479-242-4221
Provider Business Practice Location Address
First Line : 7805 PHOENIX AVE
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-5091
Country : US
Telephone Number : 479-242-4220
Fax Number : 479-242-4221
Authorized Official
Title or Position : PRESIDENT
Name : DR. MICHAEL A MARSH
Credential : M.D.
Telephone Number : 479-242-4220
Provider Enumeration Date : 06/24/2006
Last Update Date : 02/15/2016

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Directions to “ARKANSAS CENTER FOR EAR NOSE THROAT & ALLERGY PA ” Practice Location

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