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1962614305
WILLIAM TALLEY SUMMERLIN
BENTONVILLE, AR
NPI
1962614305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: AR R3798)
Enumeration Date
2007-05-06
Last Update Date
2007-07-08
Business Address
Dr. WILLIAM TALLEY SUMMERLIN M.D.
701 W MCNELLY RD SUITE 15
BENTONVILLE, AR 72712-9159
Phone number: 479-273-5020
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Mailing Address
Dr. WILLIAM TALLEY SUMMERLIN M.D.
15 DEVIZIS DR
BELLA VISTA, AR 72714-3820
Phone number: 479-876-5430
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