Individual
DR. CHADWICK JEROLD MASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 SKYLINE DR, RUSSELLVILLE, AR 72801-3363
(479) 968-2345
(479) 890-7169
Mailing address
1601 N CHURCH ST, ATKINS, AR 72823-3234
(479) 641-2255
(479) 641-1889
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E8524
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202829001
—
AR
Enumeration date
04/21/2011
Last updated
10/07/2019
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