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Individual

DENNIS E MCDONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 686-7928
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 686-7928

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
42382
WI
207T00000X
Neurological Surgery Physician
Primary
E-5517
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34033800
WI
01
P00805600
RAIL ROAD MEDICARE
Enumeration date
05/27/2005
Last updated
06/28/2010
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