Individual
ROBERT E BREVING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 MALVERN AVE, SUITE 302, HOT SPRINGS, AR 71901-7759
(501) 623-9300
(501) 623-9305
Mailing address
1900 MALVERN AVE, SUITE 302, HOT SPRINGS, AR 71901-7759
(501) 623-9300
(501) 623-9305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
201408921
AR
2086S0129X
Vascular Surgery Physician
201408921
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154398001
—
AR
01
—
5N045
BCBS
CA
Enumeration date
01/27/2006
Last updated
12/08/2010
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