Healthcare Provider Details

I. General information

NPI: 1821031295
Provider Name (Legal Business Name): ELIZABETH FROMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5230 WILLOW CREEK DR SUITE 201
SPRINGDALE AR
72762-0876
US

IV. Provider business mailing address

PO BOX 6220
SPRINGDALE AR
72766
US

V. Phone/Fax

Practice location:
  • Phone: 479-927-3100
  • Fax: 479-927-3131
Mailing address:
  • Phone: 479-927-3100
  • Fax: 479-927-3131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC8434
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberC8434
License Number StateAR
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberC8434
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: