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

University of Arkansas for Medical Sciences

Organization Family Medicine Physician · NPI 1417110230

University of Arkansas for Medical Sciences provides Family Medicine Physician services in Fayetteville, Arkansas. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

1125 N College Ave
Fayetteville, AR 72703-1908 Not confirmed with CMS for 16 years — call before visiting
Phone: (479) 521-8269
Fax: (479) 443-3903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1417110230
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official B J Roberts — Chief Financial Officer · (479) 521-8269
Other names Ahec Fayetteville Pediatric Clinic
NPI enumeratedJuly 2, 2008
Last updated in NPPESJanuary 28, 2010
Mailing address1125 N College Ave, Fayetteville, AR 72703-1908

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