| Commonwell Clinic, P.A. | |
|
1501 S Waldron Rd Ste 200 Fort Smith AR 72903-2565 | |
| (479) 388-0400 | |
| (479) 388-0401 |
| Full Name | Commonwell Clinic, P.A. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1501 S Waldron Rd Ste 200, Fort Smith, Arkansas |
| Authorized Official Name and Position | Rowland Stewart (PRESIDENT) |
| Authorized Official Contact | 4793880400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwell Clinic, P.A. 1501 S Waldron Rd Ste 201 Fort Smith AR 72903-2565 Ph: (479) 388-0400 | Commonwell Clinic, P.A. 1501 S Waldron Rd Ste 200 Fort Smith AR 72903-2565 Ph: (479) 388-0400 |
| NPI Number | 1407459290 |
|---|---|
| Provider Enumeration Date | 11/16/2020 |
| Last Update Date | 11/16/2020 |
| Certification Date | 11/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407459290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
| 208000000X | Pediatrics | () | Secondary |
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