Individual
DR. RUTH ANN REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1915 W BEEBE CAPPS EXPY, SEARCY, AR 72143-5012
(501) 268-8175
(501) 268-8337
Mailing address
1915 W BEEBE CAPPS EXPY, SEARCY, AR 72143-5012
(501) 268-8175
(501) 268-8337
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2006-01883
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2007026053
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
20916
MS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
E-5277
AR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD0000044093
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165452001
—
AR
01
—
5N951
BCBS
—
Enumeration date
12/01/2005
Last updated
03/01/2010
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