Individual
DOUGLAS E. SEGLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903
(479) 314-4635
(479) 314-4634
Mailing address
P.O. BOX 11350, FORT SMITH, AR 72917
(479) 314-4635
(479) 314-4634
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
E-5281
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174236003
—
AR
Enumeration date
04/03/2007
Last updated
10/14/2010
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