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Contact Information

RONALD E REVARD, MD
702 N. SPRING STREET
HARRISON, AR72601
 Phone: 870-365-0761
 Fax: 870-365-0763
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RONALD E REVARD · (Male)

NPI # 1710970637
Status Active
Credentials MD
Entity Individual
Enumeration date 08/25/2005
Last updated 03/12/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AR License # C-6300
  • AR License # C6300
  • AR Medicaid 110646001
Hospital affiliation(s)
  • BAXTER REGIONAL MEDICAL CENTER - (Acute Care)
    624 HOSPITAL DRIVE
    MOUNTAIN HOME, AR 72653
  • NORTH ARKANSAS REGIONAL MEDICAL CENTER - (Acute Care)
    620 NORTH MAIN STREET
    HARRISON, AR 72601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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