| NPI | 1073727756 |
|---|---|
| Doing Business As | FAYETTEVILLE PODIATRY |
| Entity Type | Organization |
| Authorized Contact | TERRY TRICHELL Office Manager 479-587-0171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: AR 116) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: OK 172) |
| 213E00000X Podiatrist (Licence: TX 0902) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2008-01-14 |