Individual
MR. DENNIS EPPERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1800 BY PASS RD, HEBER SPRINGS, AR 72543
(501) 202-2093
(501) 202-6316
Mailing address
11001 EXECUTIVE CENTER DR, LITTLE ROCK, AR 72211-4316
(501) 202-2093
(501) 202-6316
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R54344
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
C01357
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146020701
—
AR
01
—
5W688
BCBS
AR
Enumeration date
07/08/2006
Last updated
11/16/2020
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