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BLAINE MICHAEL WINTERTON DO

Individual Provider (NPI-1) Active

Internal Medicine, Pulmonary Disease

Provider Information

NPI Number
1154983237
Provider Type
Individual Provider (NPI-1)
Credentials
DO
Status
Active

Contact & Location

Address
2713 S 74TH ST STE 301, FORT SMITH, AR, 729035155
Phone
(479) 314-4620
Fax
(479) 314-4630

Specialties & Taxonomies

Internal Medicine, Pulmonary Disease License: MO #2022021013
Internal Medicine, Pulmonary Disease Primary License: AR #E-19090
Internal Medicine License: MO #2019021801

All Addresses

MAILING

PO BOX 776084

CHICAGO, IL, 606776084

(479) 314-4620

LOCATION

2713 S 74TH ST STE 301

FORT SMITH, AR, 729035155

(479) 314-4620