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General NPI Number Information
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NPI Number | 1659847945
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Entity Type | Organization
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Legal Business Name | ARKANSAS REGENERATIVE MEDICAL CENTER, LTD.
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Dates
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Enumeration Date | 10/15/2018
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Last Update Date | 10/15/2018
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Provider Practice Location Address
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Address Line | 4285 N SHILOH DR STE 104
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-5351
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Country | US
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Telephone | 479-715-8011
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Fax |
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Provider Business Mailing Address
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Address Line | 4285 N SHILOH DR STE 104
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-5351
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Country | US
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Telephone | 479-715-8011
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR/OWNER
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Name | DR. DAVID LEE HARSHFIELD JR.
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Credential | MD
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Telephone | 479-715-8011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SH1100X
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Taxonomy Name | Holistic Clinical Nurse Specialist
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License Number |
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License Number State |
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