Individual
JEFFERSON CARTWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 SKYLINE DR, RUSSELLVILLE, AR 72801-3395
(479) 968-2345
(479) 890-2497
Mailing address
101 SKYLINE DR, RUSSELLVILLE, AR 72801-3395
(479) 968-2345
(479) 890-2497
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E-11525
AR
207X00000X
Orthopaedic Surgery Physician
MD00042957
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1090233
—
WA
05
—
230365001
—
AR
Enumeration date
06/16/2006
Last updated
01/18/2019
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