National Provider Identifier Database

WASHINGTON REGIONAL MEDICAL SYSTEM
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

WASHINGTON REGIONAL MEDICAL SYSTEM
3561 JOHNSON MILL BLVD
SUITE 102
FAYETTEVILLE, AR72704
Phone: 479-404-4900
Fax: 479-404-4910
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for WASHINGTON REGIONAL MEDICAL SYSTEM

NPI Number 1205449691
Legal business name
LBN
WASHINGTON REGIONAL MEDICAL SYSTEM
Authorized official DANIEL ECKELS - (CFO)
Entity Organization
Organization subpart No
Enumeration date 08/26/2020
Last updated 08/26/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

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.

Reviews for WASHINGTON REGIONAL MEDICAL SYSTEM

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