Mantooth, Ryan David

Mantooth, Ryan David is an individual health care provider with primary practice located at 3215 N North Hills Blvd. , Fayetteville AR 72703. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Mantooth, Ryan David can be contacted via phone (479) 463-7102.

Contact Information

Primary practice address
3215 N North Hills Blvd. Fayetteville AR 72703
Phone: (479) 463-7102
Fax: (479) 463-5987
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E-13154 Arkansas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD.37708 Alabama
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1114450822
LBN Legal business name Mantooth, Ryan David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2017
Last updated Apr 9th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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