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1427144005
BRENT VAUGHT WITHERINGTON
FAYETTEVILLE, AR
NPI
1427144005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AR E-4894)
Enumeration Date
2006-10-04
Last Update Date
2021-12-29
Business Address
Dr. BRENT VAUGHT WITHERINGTON MD
1188 N SALEM RD STE 6
FAYETTEVILLE, AR 72704-8803
Phone number: 479-442-0006
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Mailing Address
Dr. BRENT VAUGHT WITHERINGTON MD
PO BOX 1523
FAYETTEVILLE, AR 72702-1523
Phone number: 479-571-6038
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