Individual
DR. DENISE T OLDENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 WEST CHEROKEE VILLAGE MALL, CHEROKEE VILLAGE, AR 72529
(870) 257-4110
(870) 257-4112
Mailing address
PO BOX 249, SALEM, AR 72576-0249
(870) 257-4110
(870) 257-4112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R3890
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114697001
—
AR
05
—
203828306
—
MO
Enumeration date
03/08/2006
Last updated
05/12/2010
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