Individual
DR. FREDRIK J BALLDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3215 N. NORTH HILLS BLVD, FAYETTEVILLE, AR 72703-4424
(479) 463-7102
(479) 463-7864
Mailing address
PO BOX 550, LOWELL, AR 72745
(479) 463-7775
(479) 463-7187
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E-10679
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221932001
—
AR
Enumeration date
06/01/2011
Last updated
01/22/2019
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