MEDICARE: DR. MARTHA ANN HUTSON-FINCHER M.D.

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	207K00000X	Allergy & Immunology Physician	C2705	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51679	OTHER	AR	BCBS PROV #
2	340675	OTHER	AR	HEALTHLINK PROV#
3	12197000000	OTHER	AR	QUALCHOICE PROV#

General Provider Information

NPI Number	:	1417906371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTHA ANN HUTSON-FINCHER M.D.

Provider Business Mailing Address
First Line	:	2100 N GREEN ACRES RD
Second Line	:	SUITE A
City	:	FAYETTEVILLE
State	:	AR
Zip	:	72703-2807
Country	:	US
Telephone Number	:	479-521-3363
Fax Number	:	479-521-4167

Provider Business Practice Location Address
First Line	:	2100 N GREEN ACRES RD
Second Line	:	SUITE A
City	:	FAYETTEVILLE
State	:	AR
Zip	:	72703-2807
Country	:	US
Telephone Number	:	479-521-3363
Fax Number	:	479-521-4167

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

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	07/12/2007

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Directions to “ DR. MARTHA ANN HUTSON-FINCHER M.D.” Practice Location

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