Individual
DONGYEON PETER HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 HAWKINS DR, SEARCY, AR 72143-4802
(501) 278-2800
(501) 278-8309
Mailing address
2900 HAWKINS DR, SEARCY, AR 72143-4802
(501) 278-2800
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0101046787
VA
208800000X
Urology Physician
Primary
E-4160
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134236276
BCBS
VA
05
—
1134236276
—
VA
05
—
155040001
—
AR
Enumeration date
08/24/2006
Last updated
01/22/2021
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