Individual
DR. STEPHEN HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2302 COLLEGE AVE, CONWAY, AR 72034-6297
(501) 513-5793
Mailing address
2302 COLLEGE AVE, CONWAY, AR 72034-6297
(501) 513-5793
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E0837
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130948001
—
AR
Enumeration date
10/04/2005
Last updated
01/07/2011
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