| Doctor Name: | MARY A LINN |
| NPI Number: | 1013149798 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | |
| Business Practice Address: | 1001 Towson Ave Fort Smith, AR - 729014921 |
| Business Phone Number: | 4794413396 |
| Business Fax Number: | 4794414917 |
| Mailing Address: | Po Box 2420, FORT SMITH |
| State: | AR |
| Postal Code: | 729022420 |
| Phone Number: | 4797097399 |
| Fax Number: | 4797097053 |
| NPI Enumeration Date: | 08/14/2009 |
| NPI Last Update Date: | 11/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |