MEDICARE: JOSEPH SALYER 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
1	363A00000X	Physician Assistant		AR

General Provider Information

NPI Number	:	1619751054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH SALYER PA

Provider Business Mailing Address
First Line	:	3211 N NORTHHILLS BLVD
Second Line	:
City	:	FAYETTEVILLE
State	:	AR
Zip	:	72703-4007
Country	:	US
Telephone Number	:	479-404-2110
Fax Number	:

Provider Business Practice Location Address
First Line	:	3211 N NORTHHILLS BLVD
Second Line	:
City	:	FAYETTEVILLE
State	:	AR
Zip	:	72703-4007
Country	:	US
Telephone Number	:	479-404-2110
Fax Number	:

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

Provider Enumeration Date	:	08/24/2023
Last Update Date	:	03/06/2026

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Directions to “ JOSEPH SALYER PA” Practice Location

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