Provider Demographics
NPI:1235589748
Name:FRISBY, BRITTNEY WOODWARD (MD)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:WOODWARD
Last Name:FRISBY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BRITTNEY
Other - Middle Name:
Other - Last Name:WOODWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:675 HIGHWAY 62 E
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72653-3207
Mailing Address - Country:US
Mailing Address - Phone:870-508-7600
Mailing Address - Fax:
Practice Address - Street 1:675 HIGHWAY 62 E
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72653-3207
Practice Address - Country:US
Practice Address - Phone:870-508-7600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-15
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016019178207Q00000X
ARE-12507207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty