| Elkins Complete Care | |
|
2684 Hollybrooke Dr Fayetteville AR 72701-9298 | |
| (501) 463-0665 | |
| Not Available |
| Full Name | Elkins Complete Care |
|---|---|
| Speciality | Family Medicine |
| Location | 2684 Hollybrooke Dr, Fayetteville, Arkansas |
| Authorized Official Name and Position | David Young (OWNER/ PROVIDER) |
| Authorized Official Contact | 5014630665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elkins Complete Care 2684 Hollybrooke Dr Fayetteville AR 72701-9298 Ph: (501) 463-0665 | Elkins Complete Care 2684 Hollybrooke Dr Fayetteville AR 72701-9298 Ph: (501) 463-0665 |
| NPI Number | 1306655014 |
|---|---|
| Provider Enumeration Date | 01/07/2025 |
| Last Update Date | 01/07/2025 |
| Medicare PECOS PAC ID | 3971029109 |
|---|---|
| Medicare Enrollment ID | O20250430001215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306655014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David Lee Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679197875 PECOS PAC ID: 7416362637 Enrollment ID: I20210222002342 |
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