Washington Regional Medical System

Organization Geriatric Psychiatry Physician · NPI 1366408973

Washington Regional Medical System provides Geriatric Psychiatry Physician services in Fayetteville, Arkansas. Registered with an NPI since 2006.

In the registry since: 2006

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Practice location Address checks out

3215 N Northhills Blvd Washington Regional Psychiatric Clinic
Fayetteville, AR 72703-4424 Not confirmed with CMS for 16 years — call before visiting
Phone: (479) 463-2004
Fax: (479) 463-7864

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

Specialties & licences

Geriatric Psychiatry Physician (primary)	Taxonomy 2084P0805X

Record details

NPI number	1366408973
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Dan Eckels — Vice President And Cfo · (479) 463-6026
Other names	Washington Regional Psychiatric Clinic
NPI enumerated	April 22, 2006
Last updated in NPPES	September 20, 2010
Mailing address	12 E Appleby, Clinic Administration, Fayetteville, AR 72703