Individual
DR. JOHN BRANNON ALBERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 GENE GEORGE BLVD, SPRINGDALE, AR 72762-0845
(479) 334-3485
(479) 725-6582
Mailing address
PO BOX 251418, LITTLE ROCK, AR 72225-1418
(501) 364-1100
(501) 364-4082
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
201755
LA
2080P0206X
Pediatric Gastroenterology Physician
201755
LA
2080P0206X
Pediatric Gastroenterology Physician
Primary
E-15860
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08457827
—
MS
05
—
1021458
—
LA
05
—
64121817
—
KY
Enumeration date
06/24/2006
Last updated
10/28/2022
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