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NPI Profile for PEACH STATE MEDICAL PRACTICE PC in ROGERS, AR.
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Reproductive Endocrinology |
207VE0102X | 16 | Physician/Obstetrics & Gynecology | |
Obstetrics & Gynecology |
207V00000X | 16 | Physician/Obstetrics & Gynecology |
| NPI # | 1013647569 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/15/2022 | |
| Last updated | 05/20/2024 - About 2 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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PEACH STATE MEDICAL PRACTICE, PC
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PEACH STATE MEDICAL PRACTICE, PC