Marty Wayne Hearyman MD

NPI 1174523120 - Family Medicine - 207Q00000X

NPI Details
NPI 1174523120
Gender Male
Enumeration Date 07/29/2005
Last Updated 11/16/2009
Entity Type Individual
Active Over 12 years ago
Practice Location
2104 HIGHWAY 367 N
BALD KNOB AR, 72010-9443, US
Phone (501) 724-3110
Fax (501) 724-0140
Business Location
PO BOX 1158
BALD KNOB AR, 72010-1158, US
Phone (501) 724-3110
Fax (501) 724-0140
Taxonomy Code 207Q00000X
License State Arkansas
License Number E2849
Remove 1174523120 NPI Number

According to our database, Dr. Marty Wayne Hearyman MD NPI is 1174523120, taxonomy code is 207Q00000X and license number is E2849, license state is located at Arkansas. Marty Wayne Hearyman MD physically located at 2104 Highway 367 N, Bald Knob AR, 72010-9443. NPI Number Marty Wayne Hearyman MD has the Individual type.

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1174523120 NPI number is provided on an as is basis without warranty of any kind. 1174523120 is maintained by the National Plan & Provider Enumeration System. The contents of Marty Wayne Hearyman MD are for informational purposes only.