Healthcare Provider Details

I. General information

NPI: 1447228465
Provider Name (Legal Business Name): WAYNE H WELSHER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 06/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2708 RIFE MEDICAL LN SUITE 210
ROGERS AR
72758-1452
US

IV. Provider business mailing address

2708 RIFE MEDICAL LN SUITE 210
ROGERS AR
72758-1452
US

V. Phone/Fax

Practice location:
  • Phone: 479-338-3888
  • Fax: 479-338-4453
Mailing address:
  • Phone: 479-338-3888
  • Fax: 479-338-4453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberE-5092
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: