Individual
MRS. JUDY M MICHAELS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2505 COLLEGE AVE, CONWAY, AR 72034-6135
(501) 327-6000
(501) 450-7559
Mailing address
2505 COLLEGE AVE, CONWAY, AR 72034-6135
(501) 327-6000
(501) 450-7559
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C5428
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53648
BLUE CROSS
AR
Enumeration date
11/10/2005
Last updated
07/08/2007
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