Individual
DR. PEARL ANNE SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.B.B.S
Contact information
Practice address
2000 S 42ND ST, SUIT 100, ROGERS, AR 72758-2001
(479) 273-9173
Mailing address
2000 S 42ND ST STE, STE 100, ROGERS, AR 72758
(479) 273-9173
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-9400
AR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/02/2012
Last updated
09/09/2020
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