Individual
DR. EDUARDO A DEMONDESERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6801 ROGERS AVE, FORT SMITH, AR 72903-4067
(479) 274-3200
(479) 274-3289
Mailing address
PO BOX 3528, FORT SMITH, AR 72913-3528
(479) 274-2000
(479) 274-2194
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
E-0435
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110151252
RR MEDICARE
—
05
—
127259001
—
AR
Enumeration date
07/06/2006
Last updated
08/28/2015
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