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Individual
DR. ROSS EDDINGTON HALSTED
Active
Individual
DR. ROSS EDDINGTON HALSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E7193
AR
207V00000X
Obstetrics & Gynecology Physician
E7193
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198759001
—
AR
01
—
5UU32
ARKANSAS BLUE CROSS BLUE SHIELD
AR
Enumeration date
07/14/2010
Last updated
09/20/2023
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