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Individual

DR. GEORGE DAVID MUNDAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4000 LINWOOD DRIVE, SUITE G, PARAGOULD, AR 72450
(870) 239-8268
(870) 239-8277
Mailing address
1000 W KINGSHIGHWAY STE 14, PARAGOULD, AR 72450-4197
(870) 239-8591
(870) 239-8137

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
6800A
WY
208800000X
Urology Physician
Primary
E-12405
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1177371 00
WY
05
237000003
AR
01
340020582
RAILROAD MEDICARE
WY
Enumeration date
03/17/2006
Last updated
03/14/2022
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