Organization
ABDUL EZELDIN M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDUL K EZELDIN M.D. (OWNER)
(870) 534-1726
Entity
Organization
Contact information
Practice address
1801 W 40TH AVE STE 5C, PINE BLUFF, AR 71603-6962
(870) 534-1726
(870) 534-0728
Mailing address
1801 W 40TH AVE STE 5C, P. O BOX 1446, PINE BLUFF, AR 71603-6962
(870) 534-1726
(870) 534-0728
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
BE5718739
AR
Other
Enumeration date
11/07/2011
Last updated
03/19/2014
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