Individual
JOHN ELTON CASWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
643 E 3RD ST, GENTRY, AR 72734-8258
(479) 736-2213
(479) 736-2105
Mailing address
643 E 3RD ST, PO BOX 9, GENTRY, AR 72734-8258
(479) 736-2213
(479) 736-2105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E4143
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157772001
—
AR
Enumeration date
05/08/2006
Last updated
03/18/2014
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