Healthcare Provider Details

I. General information

NPI: 1104966589
Provider Name (Legal Business Name): LEIGH FINCHER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 N GARLAND AVE
FAYETTEVILLE AR
72701-3110
US

IV. Provider business mailing address

12998 SNAKE BRANCH RD
FAYETTEVILLE AR
72701-3806
US

V. Phone/Fax

Practice location:
  • Phone: 479-575-4451
  • Fax:
Mailing address:
  • Phone: 479-643-3198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberR3306
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: