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1013084631
FAYETTEVILLE SURGICAL ASSOC PA
FAYETTEVILLE, AR
NPI
1013084631
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Entity Type
Organization
Authorized Contact
GWEN S MATHIS
Clinic Administrator
479-521-3300
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2006-11-29
Last Update Date
2013-07-22
Business Address
FAYETTEVILLE SURGICAL ASSOC PA
3264 N. NORTH HILLS BLVD.
FAYETTEVILLE, AR 72703-4005
Phone number: 479-521-3300
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Mailing Address
FAYETTEVILLE SURGICAL ASSOC PA
3264 N. NORTH HILLS BLVD.
FAYETTEVILLE, AR 72703-4005
Phone number: 479-521-3300
Copy
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