OZARK DERMATOLOGY CLINIC is a specialist in Fayetteville, AR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. OZARK DERMATOLOGY CLINIC NPI is 1134207483. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
4375 N. VANTAGE DRIVE
SUITE 305
FAYETTEVILLE, AR
ZIP 72703-984
Phone: (479) 443-5100
Fax: (479) 443-5117
The provider's authorized official is Diane Williams .
The authorized official title is Credentialing Manager and has the following contact phone number (479) 335-1831.
The CLIA number assigned to this NPI record is 04D2186973 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 11/2/2006 and was last updated on 2/22/2022.