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NPI Code Detail

MEDICARE: HONEY SCHAUMBURG PA-C

MEDICARE: HONEY SCHAUMBURG PA-C
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1912279290
Entity Type Code : Individual
Provider Name (Legal Business Name) : HONEY SCHAUMBURG PA-C
Provider Business Mailing Address
First Line : 5921 RILEY PARK DR
Second Line :
City : FORT SMITH
State : AR
Zip : 72916-6103
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5921 RILEY PARK DR
Second Line :
City : FORT SMITH
State : AR
Zip : 72916-6103
Country : US
Telephone Number : 479-649-3376
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2012
Last Update Date : 08/22/2017

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Directions to “ HONEY SCHAUMBURG PA-C” Practice Location

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