Provider Demographics
NPI:1215971106
Name:BETTS, CHAD LEE (MD)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:LEE
Last Name:BETTS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4333 W CONEFLOWER PL
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72704
Mailing Address - Country:US
Mailing Address - Phone:479-443-2494
Mailing Address - Fax:
Practice Address - Street 1:3689 N STEELE BLVD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-5347
Practice Address - Country:US
Practice Address - Phone:479-521-2555
Practice Address - Fax:479-521-6761
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2023-11-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ART2006-025207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR162286001Medicaid
ARI60846Medicare UPIN
AR162286001Medicaid