Individual
DR. GLEN L LOVEDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 EAST JULIA, WYNNE, AR 72396
(870) 238-0377
(870) 238-5583
Mailing address
623 N 9TH STREET, PO BOX 497, AUGUSTA, AR 72006
(870) 347-3300
(870) 347-3492
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E3916
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152181001
—
AR
Enumeration date
04/25/2006
Last updated
07/07/2009
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