Executive Park Surgery Center of Fort Smith, INC
NPI #1598068306 in Fort Smith, Arkansas
Provider Information
- NPI Number
- 1598068306
- Entity Type
- Organization
- Organization Name
- Executive Park Surgery Center of Fort Smith, INC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Dec 16, 2010
- Last Updated
- Jan 4, 2024
Practice Location
- Address
- 3314 S 70TH ST
- City
- Fort Smith
- State
- Arkansas
- ZIP Code
- 72903-5052
- Phone
- (479) 424-2744
Authorized Official
- Name
- CHRISTOPHER J RODRIGUEZ, M.D.
- Title
- PRESIDENT
- Phone
- (479) 424-2744
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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