Individual
JEFFREY JOHN CARFAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 CLUB MANOR DR STE 105, MAUMELLE, AR 72113-7443
(501) 851-8100
(501) 851-4712
Mailing address
1900 CLUB MANOR DR STE 105, MAUMELLE, AR 72113-7443
(501) 851-8100
(501) 851-4712
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C6805
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080037331
RR MEDICARE
—
01
—
11200000040
QUALCHOICE
—
05
—
116678001
—
AR
01
—
1670460
UNITED HEALTHCARE
AR
01
—
51945
BLUE CROSS BLUE SHIELD
AR
Enumeration date
09/06/2006
Last updated
12/17/2009
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