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Individual

FERDINAND TABUCOL RODA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 MERCY LN, SUITE 301, HOT SPRINGS, AR 71913-6442
(501) 609-0224
(501) 609-0666
Mailing address
1 MERCY LN, SUITE 301, HOT SPRINGS, AR 71913-6442
(501) 609-0224
(501) 609-0666

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R-4526
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123957001
AR
01
13278000001
QUALCHOICE
AR
01
5J212
BLUE
AR
01
DF5380
RAILROAD
AR
Enumeration date
09/21/2006
Last updated
05/20/2010
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