Individual
DR. RAYMOND L. BANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
628 HOSPITAL DR STE 3-E, MOUNTAIN HOME, AR 72653-2937
(870) 508-7450
(870) 508-7768
Mailing address
628 HOSPITAL DR STE 3-E, MOUNTAIN HOME, AR 72653-2937
(870) 508-7450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-5041
AR
207RI0200X
Infectious Disease Physician
E-5041
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163547001
—
AR
Enumeration date
01/16/2006
Last updated
05/21/2021
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