Organization
DAVID H. WEINGOLD, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEBA O. CUNNINGHAM (INSURANCE REP.)
(870) 802-3376
Entity
Organization
Contact information
Practice address
4334 E HIGHLAND DR, JONESBORO, AR 72401-6621
(870) 802-3376
Mailing address
4334 E HIGHLAND DR, JONESBORO, AR 72401-6621
(870) 802-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130967001
—
AR
05
—
138940002
—
AR
01
—
70013929
RAILROAD MEDICARE
AR
Enumeration date
04/24/2007
Last updated
05/28/2014
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