Individual
JEFFREY DUPRE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
624 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2955
(870) 508-1000
Mailing address
372 NORTHPOINTE DR, MOUNTAIN HOME, AR 72653-8131
(205) 393-6420
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
124699
AR
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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