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NPI Code Detail

MEDICARE: CASSIDY LYNN FRONK

MEDICARE: CASSIDY LYNN FRONK
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
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1649133406
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSIDY LYNN FRONK
Provider Business Mailing Address
First Line : 2400 S 48TH ST
Second Line :
City : SPRINGDALE
State : AR
Zip : 72762-6683
Country : US
Telephone Number : 479-750-2020
Fax Number : 479-750-2020
Provider Business Practice Location Address
First Line : 350 SALEM RD STE 1
Second Line :
City : CONWAY
State : AR
Zip : 72034-6166
Country : US
Telephone Number : 501-336-8300
Fax Number : 501-329-5508
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ CASSIDY LYNN FRONK ” Practice Location

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