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Individual

WAQAR M MEHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12 E APPLEBY, SUITE 101, FAYETTEVILLE, AR 72703
(479) 463-4444
(479) 463-4499
Mailing address
12 E APPLEBY, SUITE 101, FAYETTEVILLE, AR 72703
(479) 463-4444
(479) 463-4499

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E3547
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
148791001
AR
05
200053490A
OK
01
5M407
AR BC/BS
AR
01
P00261065
RR MCR
AR
Enumeration date
06/20/2006
Last updated
04/22/2011
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