Individual
EUGENE MCKINLEY SHELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1910 MALVERN AVE, HOT SPRINGS, AR 71901-7752
(501) 620-2720
Mailing address
PO BOX 634659, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C-5232
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105082001
—
AR
01
—
54793
BLUE CROSS
AR
01
—
P00249814
RAILROAD MEDICARE
AR
Enumeration date
07/07/2006
Last updated
09/19/2008
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