# DR. ROSS EDDINGTON HALSTED

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578876959
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E7193 | AR | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | E7193 | AR | — |

## Other

- **Enumeration date:** 07/14/2010
- **Last updated:** 09/20/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 198759001 | — | AR |
| 01 | — | 5UU32 | ARKANSAS BLUE CROSS BLUE SHIELD | AR |