Individual
SHAWN MICHAEL RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 ONEIDA WAY, MAUMELLE, AR 72113-5872
(501) 353-5765
Mailing address
118 ONEIDA WAY, MAUMELLE, AR 72113-5872
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
E5344
AR
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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