Individual
DR. DAVID JONATHAN GREENGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2919 SHENANDOAH VALLEY DR, LITTLE ROCK, AR 72212-3141
(501) 312-1993
Mailing address
2919 SHENANDOAH VALLEY DR, LITTLE ROCK, AR 72212-3141
(501) 312-1993
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036.117655
IL
207P00000X
Emergency Medicine Physician
2008003303
MO
207P00000X
Emergency Medicine Physician
Primary
E-4595
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036117655
—
IL
05
—
036117655-6
—
IL
01
—
1134172901
BLUE CROSS BLUE SHIELD
MO
05
—
1134172901
—
MO
05
—
159424001
—
AR
Enumeration date
05/19/2006
Last updated
11/20/2009
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