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Contact Information

GIDEON S MECUM, MD
3215 N. NORTH HILL DRIVE
FAYETTEVILLE, AR72703-4424
 Phone: 479-463-7102
 Fax: 479-463-7864
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Hospitalist

208M00000X
 

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for GIDEON S MECUM · (Male)

NPI Number 1710106042
Status Active
Credentials MD
Entity Individual
Enumeration date 04/25/2007
Last updated 02/18/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E-6020
  • AR Medicaid 177619001
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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