Healthcare Provider Details

I. General information

NPI: 1841243144
Provider Name (Legal Business Name): CURTIS EUGENE WULZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 MEDICAL CENTER PKWY
BENTONVILLE AR
72712-0000
US

IV. Provider business mailing address

1174 SUNBRIDGE LN
ROGERS AR
72758-8848
US

V. Phone/Fax

Practice location:
  • Phone: 479-271-0057
  • Fax:
Mailing address:
  • Phone: 479-271-0057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberN-7799
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: