Individual
PEDRO SOIBELMANN TETELBOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
RETINA ASSOCIATES, P.A., 9800 BAPTIST HEALTH DRIVE, SUITE 200, LITTLE ROCK, AR 72205-7101
(501) 219-0900
(501) 312-4750
Mailing address
9800 BAPTIST HEALTH DRIVE, SUITE 200, LITTLE ROCK, AR 72205-6243
(501) 219-0900
(501) 312-4750
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
E-15207
AR
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
E15207
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285432001
—
AR
Enumeration date
07/02/2018
Last updated
08/21/2024
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