Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | DS2246 | AR |
NPI | 1093849770 |
---|---|
Provider Name | Dr. William F. Alfonso |
First Address | North Little Rock, AR 72116-6864 |
Second Address | North Little Rock, AR 72116-6864 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2007 |
Last Update Date | 05/10/2010 |