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Individual

DR. EDWARD WARREN

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) 624-0123
(501) 624-5029
Mailing address
1900 MALVERN AVE, STE. 403, HOT SPRINGS, AR 71901-7759
(501) 624-0123
(501) 624-5029

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
E0505
AR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
E0505
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1121119001
AR
Enumeration date
03/24/2006
Last updated
02/08/2013
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