IndividualActive
Bertrand Fonji, M.D.
NPI 1073764403 · Surgery Physician · Conway, AR
Provider details
- NPI number
- 1073764403
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- E-11895 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
650 United Dr Ste 240
Conway, AR 72032-7004
Phone: (501) 329-1415
Fax: (501) 329-2589
Approximate (ZIP-level) locationGet directions
Mailing address
11001 Executive Center Dr
Little Rock, AR 72211-4316
Registry dates
- Enumerated
- 2008-10-03
- Last updated
- 2024-01-25
- Certified
- 2024-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.