Provider First Line Business Practice Location Address:
325 ADMINISTRATION BUILDING
Provider Second Line Business Practice Location Address:
UNIVERSITY OF ARKANSAS
Provider Business Practice Location Address City Name:
FAYETTEVILLE
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
479-575-5007
Provider Business Practice Location Address Fax Number:
479-575-7547
Provider Enumeration Date:
03/12/2007