Samuel Selasie Mortoti MBCHB

NPI 1154588762 - Internal Medicine - 207RC0000X

NPI Details
NPI 1154588762
Gender Male
Enumeration Date 05/21/2008
Last Updated 08/01/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
2000 MCLAIN ST
SUITE H
NEWPORT AR, 72112-3661, US
Phone (870) 523-2404
Fax
Business Location
5412 DEERFIELD DR
JONESBORO AR, 72404-8467, US
Phone (202) 290-4161
Fax
Toxanomy
Taxonomy Code 207RC0000X
License State Arkansas
License Number E-7981
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According to our database, Dr. Samuel Selasie Mortoti MBCHB NPI is 1154588762, taxonomy code is 207RC0000X and license number is E-7981, license state is located at Arkansas. Samuel Selasie Mortoti MBCHB physically located at 2000 Mclain St, Newport AR, 72112-3661. NPI Number Samuel Selasie Mortoti MBCHB has the Individual type.

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1154588762 NPI number is provided on an as is basis without warranty of any kind. 1154588762 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel Selasie Mortoti MBCHB are for informational purposes only.