Individual
BAO N DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8600 S 36TH TER, FORT SMITH, AR 72908-8768
(479) 709-7473
(479) 709-7466
Mailing address
PO BOX 11449, BELFAST, ME 04915-4005
(479) 709-1924
(479) 709-7499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E4971
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100845870A
—
OK
05
—
162521001
—
AR
Enumeration date
07/17/2006
Last updated
11/23/2016
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