Healthcare Provider Details

I. General information

NPI: 1770100752
Provider Name (Legal Business Name): TOTEM HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2020
Last Update Date: 06/16/2021
Certification Date: 06/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5320 W SUNSET AVE STE 157
SPRINGDALE AR
72762-4410
US

IV. Provider business mailing address

5320 W SUNSET AVE STE 157
SPRINGDALE AR
72762-4410
US

V. Phone/Fax

Practice location:
  • Phone: 479-966-7331
  • Fax:
Mailing address:
  • Phone: 479-966-7331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JOANNA HAGAN MCCALL
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 479-966-7331