Organization
EVGUENI ROUDACHEVSKI, D.O.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVGUENI ROUDACHEVSKI D.O. (OWNER)
(501) 227-8020
Entity
Organization
Contact information
Practice address
11912 KANIS RD, SUITE F2, LITTLE ROCK, AR 72211-3733
(501) 227-8020
(501) 227-8826
Mailing address
11912 KANIS RD, SUITE F2, LITTLE ROCK, AR 72211-3733
(501) 227-8020
(501) 227-8826
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
E-2957
AR
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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