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Individual

DR. FARRELL D HASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1910 MALVERN AVE, HOT SPRINGS, AR 71901-7752
(501) 321-1000
Mailing address
PO BOX 22390, HOT SPRINGS, AR 71903-2390
(877) 649-7812
(918) 392-2941

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C7282
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050090473
RR MEDICARE GROUP CK6327
05
114088001
AR
01
52071
AR BCBS
AR
Enumeration date
09/14/2005
Last updated
11/22/2016
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