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Individual

JAMIE DERUSSE TRAPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
437 DENISON ST, CONWAY, AR 72034-6127
(501) 327-1325
(501) 327-1328
Mailing address
PO BOX 9662, CONWAY, AR 72033-9662
(501) 852-1363
(501) 852-1364

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-10411
AR

Other

Enumeration date
04/08/2015
Last updated
09/07/2022
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