Individual
GERALD BRADLEY SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 GENE GEORGE BLVD, SPRINGDALE, AR 72762-0845
(479) 725-6880
(479) 725-6582
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-4082
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
18185
NE
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
E5822
AR
2080P0205X
Pediatric Endocrinology Physician
18185
NE
2080P0205X
Pediatric Endocrinology Physician
E5822
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126153001
—
AR
Enumeration date
05/13/2006
Last updated
10/04/2018
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