Individual
DR. SAMUEL SELASIE MORTOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBCHB
Contact information
Practice address
2000 MCLAIN ST, SUITE H, NEWPORT, AR 72112-3661
(870) 523-2404
Mailing address
5412 DEERFIELD DR, JONESBORO, AR 72404-8467
(202) 290-4161
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
E-7981
AR
Other
Enumeration date
05/21/2008
Last updated
08/01/2013
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