MISS Marielie Heidi Agesilas, M.D.
NPI #1073809158 in Fayetteville, Arkansas
Provider Information
- NPI Number
- 1073809158
- Entity Type
- Individual
- Name
- MISS Marielie Heidi Agesilas, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- Jun 27, 2011
- Last Updated
- Jun 5, 2015
Practice Location
- Address
- 1125 N COLLEGE AVE
- City
- Fayetteville
- State
- Arkansas
- ZIP Code
- 72703-1908
- Phone
- (479) 521-8260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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