Individual
STEPHEN PAUL ASHODIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 S CHURCH ST, SUITE 400, JONESBORO, AR 72401-4176
(870) 935-6012
(870) 934-3156
Mailing address
800 S CHURCH ST, SUITE 400, JONESBORO, AR 72401-4176
(870) 935-6012
(870) 934-3156
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E-4059
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154270001
—
AR
01
—
5X913
BLUE CROSS NUMBER
AR
Enumeration date
08/15/2005
Last updated
01/11/2013
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