| Ft Smith Hma Physician Management, Llc | |
| 
					1500 Dodson Ave Suite 285 Fort Smith AR 72901-5182  | |
| (479) 573-7970 | |
| (479) 573-7971 | 
| Full Name | Ft Smith Hma Physician Management, Llc | 
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism | 
| Location | 1500 Dodson Ave, Fort Smith, Arkansas | 
| Authorized Official Name and Position | Michael L Gingras (VICE PRESIDENT) | 
| Authorized Official Contact | 2395983131 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ft Smith Hma Physician Management, Llc 5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 Ph: (239) 598-3131  | Ft Smith Hma Physician Management, Llc 1500 Dodson Ave Suite 285 Fort Smith AR 72901-5182 Ph: (479) 573-7970  | 
| NPI Number | 1093006728 | 
|---|---|
| Provider Enumeration Date | 04/28/2011 | 
| Last Update Date | 11/27/2012 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093006728 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary | 
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