Individual
DR. MATTHEW JOHN DENEFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4301 W MARKHAM ST # 584, LITTLE ROCK, AR 72205-7101
(501) 686-6996
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-14283
AR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/29/2019
Last updated
05/10/2022
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