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Contact Information

VAN H DE BRUYN, MD
11220 EXECUTIVE CENTER DR STE 200
LITTLE ROCK, AR72211
 Phone: 501-399-4212
 Fax: 501-868-7551
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for VAN H DE BRUYN · (Male)

NPI # 1871518522
Status Active
Credentials MD
Entity Individual
Enumeration date 07/13/2006
Last updated 01/12/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E-1621
  • AR Medicaid 133844001
  • AR Other 89-V554 MALP INS
Hospital affiliation(s) Not Available
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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