MEDICARE: DR. DAVID WAYNE FURR D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	E3777	AR

General Provider Information

NPI Number	:	1023070638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID WAYNE FURR D.O.

Provider Business Mailing Address
First Line	:	5203 WILLOW CREEK DR STE 2
Second Line	:
City	:	SPRINGDALE
State	:	AR
Zip	:	72762-0876
Country	:	US
Telephone Number	:	479-717-6881
Fax Number	:	479-717-6884

Provider Business Practice Location Address
First Line	:	5203 WILLOW CREEK DR STE 2
Second Line	:
City	:	SPRINGDALE
State	:	AR
Zip	:	72762-0876
Country	:	US
Telephone Number	:	479-717-6881
Fax Number	:	479-717-6884

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	06/29/2016

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