Healthcare Provider Details

I. General information

NPI: 1356652630
Provider Name (Legal Business Name): REBEKAH DAWN BEYERS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2010
Last Update Date: 04/07/2020
Certification Date: 04/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

614 E EMMA AVENUE SUITE 300
SPRINGDALE AR
72764-4469
US

IV. Provider business mailing address

614 E EMMA AVENUE SUITE 300
SPRINGDALE AR
72764-4469
US

V. Phone/Fax

Practice location:
  • Phone: 479-751-7417
  • Fax: 479-751-4898
Mailing address:
  • Phone: 479-751-7417
  • Fax: 479-751-4898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberE-7991
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: