Provider Demographics
NPI:1720014699
Name:FURLOW, JOHN L (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:L
Last Name:FURLOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 E MILLSAP RD STE 7
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-6252
Mailing Address - Country:US
Mailing Address - Phone:479-966-4941
Mailing Address - Fax:479-966-4943
Practice Address - Street 1:237 E MILLSAP RD STE 7
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-6252
Practice Address - Country:US
Practice Address - Phone:479-966-4941
Practice Address - Fax:479-966-4943
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-2386207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5L421OtherAR BC/BS
ARP00192588OtherRR MCR
OK100080400AMedicaid
AR139705001Medicaid
AR5L421Medicare ID - Type Unspecified
AR139705001Medicaid
ARH14897Medicare UPIN