MEDICARE: DR. NATHAN ALLEN VOISE D.O.

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
1	207RG0100X	Gastroenterology Physician	E-10144	AR

General Provider Information

NPI Number	:	1538471701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATHAN ALLEN VOISE D.O.

Provider Business Mailing Address
First Line	:	124 SAWTOOTH OAK ST
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71901-7160
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 MERCY LN STE 404
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71913-6441
Country	:	US
Telephone Number	:	501-623-7800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2010
Last Update Date	:	11/07/2022

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