| River Valley Family Clinic of Fayetteville | |
|
1420 E Augustine Ln Ste 7 Fayetteville AR 72703-4995 | |
| (479) 200-9812 | |
| (866) 243-7203 |
| Full Name | River Valley Family Clinic of Fayetteville |
|---|---|
| Speciality | Family Medicine |
| Location | 1420 E Augustine Ln Ste 7, Fayetteville, Arkansas |
| Authorized Official Name and Position | Frederick Joseph Fuoco (OWNER) |
| Authorized Official Contact | 5044956772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Valley Family Clinic of Fayetteville Po Box 170 Ozark AR 72949-0170 Ph: (866) 243-7203 | River Valley Family Clinic of Fayetteville 1420 E Augustine Ln Ste 7 Fayetteville AR 72703-4995 Ph: (479) 200-9812 |
| NPI Number | 1013486638 |
|---|---|
| Provider Enumeration Date | 11/14/2018 |
| Last Update Date | 11/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013486638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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