Individual
DR. JEFFREY H. BORDELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MERCY LN, SUITE 201, HOT SPRINGS, AR 71913-6442
(501) 609-2222
(501) 321-9689
Mailing address
PO BOX 21850, HOT SPRINGS, AR 71903-1850
(501) 609-2222
(501) 321-9689
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-4139
AR
208M00000X
Hospitalist Physician
E4139
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154970001
—
AR
01
—
5N0126972
MEDICARE LINKED
—
Enumeration date
01/08/2007
Last updated
07/27/2020
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