| Southwest Neuroloigical Institute,pa | |
|
3011 Jenny Lind Rd Fort Smith AR 72901-6736 | |
| (479) 784-9800 | |
| (479) 784-9817 |
| Full Name | Southwest Neuroloigical Institute,pa |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3011 Jenny Lind Rd, Fort Smith, Arkansas |
| Authorized Official Name and Position | William L Griggs (OWNER) |
| Authorized Official Contact | 4797849800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Neuroloigical Institute,pa 3011 Jenny Lind Rd Fort Smith AR 72901-6736 Ph: (479) 784-9800 | Southwest Neuroloigical Institute,pa 3011 Jenny Lind Rd Fort Smith AR 72901-6736 Ph: (479) 784-9800 |
| NPI Number | 1952692808 |
|---|---|
| Provider Enumeration Date | 04/27/2011 |
| Last Update Date | 05/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952692808 | NPI | - | NPPES |
| 105583001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | R2071 (Arkansas) | Primary |
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