DR. PHETSAMONE XAYSANASY, D.P.M.

Podiatrist

Active Individual
NPI: 1063456184

Practice Address

125 W SUNBRIDGE DR
SUITE 1
Fayetteville, AR 72703

Phone: (479) 251-9200

Specialties

Specialty Code Primary License
Podiatrist 213E00000X Yes 193 (AR)

Frequently Asked Questions

NPI 1063456184 is the National Provider Identifier for DR. PHETSAMONE XAYSANASY, D.P.M., a Podiatrist provider located in Fayetteville, AR. This NPI was enumerated on June 16, 2006.
DR. PHETSAMONE XAYSANASY, D.P.M. practices at 125 W SUNBRIDGE DR, SUITE 1, Fayetteville, AR 72703.

Quick Facts

NPI
1063456184
Type
Individual
Enumerated
Jun 16, 2006
Last Updated
Jan 3, 2011

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