Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northwest Arkansas Center for Plastic Surgery, Ltd

Organization Plastic Surgery Physician · NPI 1396057758

Northwest Arkansas Center for Plastic Surgery, Ltd provides Plastic Surgery Physician services in Rogers, Arkansas. Licensed in Arkansas. Registered with an NPI since 2010.

Licensed in
AR
In the registry since
2010
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3721 S Champion Dr
Rogers, AR 72758-7275
Phone: (479) 571-3100
Fax: (479) 571-3101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence E-6144 (AR)

Record details

NPI number1396057758
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Stacey — President · (479) 571-3100
NPI enumeratedJuly 13, 2010
Last updated in NPPESFebruary 16, 2023
Certification dateFebruary 13, 2023
Mailing address3721 South Champion Dr, Rogers, AR 72758

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