| NPI | 1114971819 |
|---|---|
| Doing Business As | WASHINGTON REGIONAL FAMILY CLINIC FAYETTEVILLE |
| Entity Type | Organization |
| Authorized Contact | MARY JO ROTHROCK Director Clinic Administration 479-463-1390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2008-03-25 |