Individual
CARLISLE J ALDERINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(469) 757-1000
Mailing address
PO BOX 1426, FORT SMITH, AR 72902-1426
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
E1601
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136635001
—
AR
Enumeration date
03/24/2006
Last updated
03/15/2013
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