Ejaz Alam MD

NPI 1053411942 - Internal Medicine - 207R00000X

NPI Details
NPI 1053411942
Gender Male
Enumeration Date 09/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1309 WEST MAIN ST
FAMILY MEDICAL CENTER
WALNUT RIDGE AR, 72476, US
Phone (870) 886-3211
Fax (870) 886-9027
Business Location
PO BOX 839
1309 WEST MAIN STREET
WALNUT RIDGE AR, 72476-0839, US
Phone (870) 886-3211
Fax (870) 886-9027
Toxanomy
Taxonomy Code 207R00000X
License State Arkansas
License Number E4578
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According to our database, Ejaz Alam MD NPI is 1053411942, taxonomy code is 207R00000X and license number is E4578, license state is located at Arkansas. Ejaz Alam MD physically located at 1309 West Main St, Walnut Ridge AR, 72476. NPI Number Ejaz Alam MD has the Individual type.

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1053411942 NPI number is provided on an as is basis without warranty of any kind. 1053411942 is maintained by the National Plan & Provider Enumeration System. The contents of Ejaz Alam MD are for informational purposes only.