Individual
DR. SETH AUSTIN EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1910 MALVERN AVE, HOT SPRINGS, AR 71901-7752
(501) 620-2720
Mailing address
PO BOX 634659, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-4153
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156448001
—
AR
05
—
207569401
—
MO
01
—
5N061
BLUE CROSS
AR
01
—
P00341610
RAILROAD MEDICARE
AR
Enumeration date
06/09/2006
Last updated
11/30/2007
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