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Individual

DR. STUART DEAN HARAWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7001 ROGERS AVE, SUITE 400, FORT SMITH, AR 72903-4073
(479) 274-5000
(479) 274-5099
Mailing address
PO BOX 3528, FORT SMITH, AR 72913-3528
(479) 274-2000
(479) 274-2194

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
17284
OK
207V00000X
Obstetrics & Gynecology Physician
Primary
E1082
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100737030A
OK
05
130307001
AR
01
160030838
RR MEDICARE
Enumeration date
05/01/2006
Last updated
08/28/2015
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