Healthcare Provider Details

I. General information

NPI: 1538471701
Provider Name (Legal Business Name): NATHAN ALLEN VOISE D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2010
Last Update Date: 11/07/2022
Certification Date: 11/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MERCY LN STE 404
HOT SPRINGS AR
71913-6441
US

IV. Provider business mailing address

124 SAWTOOTH OAK ST
HOT SPRINGS AR
71901-7160
US

V. Phone/Fax

Practice location:
  • Phone: 501-623-7800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberE-10144
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: