OrganizationActive
Northwest Arkansas Podiatry Center, Inc.
NPI 1194868281 · Podiatrist · Fayetteville, AR
Provider details
- NPI number
- 1194868281
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Phetsamone Xaysanasy, Owner(479) 251-9200
- License
- 193 (AR)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
125 W Sunbridge Dr
Suite 1
Fayetteville, AR 72703-1899
Phone: (479) 251-9200
Approximate (ZIP-level) locationGet directions
Mailing address
125 W Sunbridge Dr
Fayetteville, AR 72703-1899
Other names (DBA / former)
- Other name
- Nwa Podiatry Center Inc.
Registry dates
- Enumerated
- 2007-02-15
- Last updated
- 2011-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.