Individual
DR. RODDY SMART LOCHALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1500 MCLAIN, NEWPORT, AR 72112-3638
(870) 523-9337
(870) 217-0312
Mailing address
PO BOX 1960, JONESBORO, AR 72403-1960
(870) 936-8000
(870) 934-3610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-2255
AR
207Q00000X
Family Medicine Physician
E2255
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080191107
TRAVELERS MEDICARE
AR
05
—
137047003
—
AR
01
—
5L240
MEDICARE PROVIDER NUMBER
AR
Enumeration date
02/21/2006
Last updated
09/16/2015
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