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1134207483
OZARK DERMATOLOGY CLINIC
FAYETTEVILLE, AR
NPI
1134207483
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Entity Type
Organization
Authorized Contact
DIANE WILLIAMS
Credentialing Manager
479-335-1831
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2006-11-02
Last Update Date
2022-02-22
Business Address
OZARK DERMATOLOGY CLINIC
4375 N. VANTAGE DRIVE SUITE 305
FAYETTEVILLE, AR 72703-4984
Phone number: 479-443-5100
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Mailing Address
OZARK DERMATOLOGY CLINIC
4375 N. VANTAGE DRIVE SUITE 305
FAYETTEVILLE, AR 72703-4984
Phone number: 479-443-5100
Copy
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