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Individual

EVAN N NEWBOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3805 WEST 28TH AVE, PINE BLUFF, AR 71603
(870) 536-4100
(304) 598-6928
Mailing address
3805 WEST 28TH AVE, PINE BLUFF, AR 71603
(870) 536-4100

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
E-8054
AR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/01/2009
Last updated
11/09/2020
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