Individual
DR. WILLIAM K.. FLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 CARTER ST, BERRYVILLE, AR 72616-4303
(870) 423-3338
Mailing address
211 CARTER ST, BERRYVILLE, AR 72616-4303
(870) 423-3338
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R2975
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020048067
RR MEDICARE
MO
05
—
101373001
—
AR
05
—
201626108
—
MO
01
—
51695
AR BLUE SHIELD #
AR
Enumeration date
08/30/2006
Last updated
04/24/2017
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