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Contact Information

COMMONWELL CLINIC, P.A.
1501 S WALDRON RD STE 200
FORT SMITH, AR72903-2565
 Phone: 479-388-0400
 Fax: 479-388-0401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for COMMONWELL CLINIC PA · (Female)

NPI # 1407459290
Status Active
Credentials
Entity Individual
Enumeration date 11/16/2020
Last updated 11/16/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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