Organization
EARL FEURTADO, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARL WALTER FEURTADO III M.D. (PRESIDENT)
(501) 920-8306
Entity
Organization
Contact information
Practice address
1701 S SHACKLEFORD RD, LITTLE ROCK, AR 72211-4335
(501) 219-7900
(501) 219-7909
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-0834
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
C5964
AR
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
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