Provider Demographics
NPI:1578902169
Name:AMOS, JANINE M (DO)
Entity Type:Individual
Prefix:
First Name:JANINE
Middle Name:M
Last Name:AMOS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2601 GENE GEORGE BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-0845
Mailing Address - Country:US
Mailing Address - Phone:479-725-6800
Mailing Address - Fax:479-725-6582
Practice Address - Street 1:2601 GENE GEORGE BLVD
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-0845
Practice Address - Country:US
Practice Address - Phone:479-334-3485
Practice Address - Fax:479-725-6577
Is Sole Proprietor?:No
Enumeration Date:2013-06-18
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDH85230207Y00000X
MI5101020587207YX0905X
ARE-15308207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology