Individual
ADAM CRAIG GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5707 JENNY LIND RD, FORT SMITH, AR 72908-7435
(479) 452-9416
(479) 484-0829
Mailing address
PO BOX 3887, FORT SMITH, AR 72913-3887
(479) 452-9416
(479) 484-0827
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E1396
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100038450A
OK MEDICAID
OK
05
—
132785001
—
AR
Enumeration date
05/23/2006
Last updated
05/08/2019
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