Physician Assistant
DAYTON PARISH
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1831700657 · enumerated 2020-08-14 · record updated 2026-06-10. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 776084, CHICAGO, IL, 60677-6084 (479) 338-8000 Google Maps Apple Maps OpenStreetMap
- Practice location 2710 S RIFE MEDICAL LN, ROGERS, AR, 72758-1452 (479) 338-8000 Fax (479) 986-3448 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License PA-1065 AR
- Student in an Organized Health Care Education/Training Program 390200000X
In this directory
Locations and evidence
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Practice location
ROGERS, AR, 727581452
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.