Individual
DR. DONALD C EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
Mailing address
3505 SE 6TH ST, BENTONVILLE, AR 72712-7178
(479) 271-7291
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-0441
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128864001
—
AR
Enumeration date
07/07/2005
Last updated
07/08/2007
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