Grady Glen Fincher in Fayetteville - Otolaryngology
Grady Glen Fincher - NPI 1679579031
Grady Glen Fincher is a Otolaryngology in Fayetteville, Arkansas. Grady Glen Fincher practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Grady Glen Fincher is 1679579031. The last update date is 2007-07-11.
Grady Glen Fincher's current location address is 2100 N Green Acres Rd, Fayetteville, Arkansas. You can contact this provider via phone number 4795210455 and fax number 4794449722. The mailing address for Grady Glen Fincher is 2100 N Green Acres Rd, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grady Glen Fincher |
|---|---|
| Address | 2100 N Green Acres Rd, Fayetteville, Arkansas |
| Phone Number | 4795210455 |
| Fax Number | 4794449722 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1679579031 |
|---|---|
| Provider Enumeration Date | 2005-06-21 |
| Last Updated Date | 2007-07-11 |
Provider Mailing Address Detail
| Address | 2100 N Green Acres Rd |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 7270328850 |
| Phone Number | 4795210455 |
| Fax Number | 4794449722 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | C2972 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 106242001 | AR | -- |
Post Comment/ Review Below
What is the Grady Glen Fincher's 1679579031?
The Grady Glen Fincher's NPI (National Provider Identifier) Number is 1679579031. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Grady Glen Fincher is physically located?
The Grady Glen Fincher is situated at the following address: 2100 N Green Acres Rd, Fayetteville, AR 7270328850.
What is Grady Glen Fincher's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Grady Glen Fincher is Otolaryngology, and the corresponding taxonomy classification code for this specialized field is 207Y00000X.
On what date did Grady Glen Fincher receive its 1679579031 assignment from the Centers for Medicare & Medicaid Services?
The Grady Glen Fincher was assigned its 1679579031 on 2005-06-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Grady Glen Fincher last refreshed?
The information related to the Grady Glen Fincher, including its address, specialty, and other relevant details, was last updated on 2007-07-11.