Individual
DR. JEREMY WAYNE SAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 E PARKWAY DR, RUSSELLVILLE, AR 72801-4202
(479) 567-5770
(795) 675-1044
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(800) 824-4094
(479) 968-1673
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E-5488
AR
207Q00000X
Family Medicine Physician
Primary
E5488
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167951001
—
AR
Enumeration date
05/29/2007
Last updated
04/11/2024
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