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Individual

DR. JOHN KURT MEHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7001 ROGERS AVE, SUITE 401, FORT SMITH, AR 72903-4073
(479) 314-4650
(479) 452-9459
Mailing address
7001 ROGERS AVE, SUITE 401, FORT SMITH, AR 72903-4073
(479) 314-4650
(479) 452-9459

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
N-8282
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060019708
RR MEDICARE
05
121610001
AR
Enumeration date
07/18/2006
Last updated
06/30/2013
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