Cyril E Severns
Dermatologist
1500 Dodson Ave Ste 270
Fort Smith
, Arkansas 72901-5182
Cyril E Severns
Dermatologist
1500 Dodson Ave Ste 270
Fort Smith
, Arkansas 72901-5182
(479) 709-7484
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Cyril E Severns
- Po Box 1644
- Fort Smith, AR
- Zip : 72902-1644
- Fax : (479) 709-7484
- Phone : (479) 709-7340
Second Address
- Cyril E Severns
- 1500 Dodson Ave Ste 270
- Fort Smith, AR
- Zip : 72901-5182
- Fax : (479) 709-7484
- Phone : (479) 709-7340
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | E2217 | AR |
National Provider Identifier
| NPI | 1013904176 |
|---|---|
| Provider Name | Cyril E Severns |
| First Address | Fort Smith, AR 72902-1644 |
| Second Address | Fort Smith, AR 72901-5182 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2005 |
| Last Update Date | 26/01/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 139030001 | (05) | AR |
| E93319 | (02) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.