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Individual

DR. RUBEN TEJADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5212 VILLAGE PKWY, SUITE 9, ROGERS, AR 72758-8104
(479) 876-8460
(479) 876-8470
Mailing address
5212 VILLAGE PKWY, SUITE 9, ROGERS, AR 72758-8104
(479) 876-8460
(479) 876-8470

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E0881
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
129687001
AR
Enumeration date
12/14/2006
Last updated
10/17/2013
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