Individual
MICHAEL E CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 HAWKINS DR, SEARCY, AR 72143-4802
(501) 278-2800
(501) 278-3073
Mailing address
2900 HAWKINS DR, SEARCY, AR 72143-4802
(501) 278-2800
(501) 278-3073
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
E4264
AR
2084N0400X
Neurology Physician
J8964
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047792901
—
TX
05
—
127758001
—
AR
Enumeration date
07/29/2005
Last updated
04/02/2020
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