Individual
DR. REGINA R HUDEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3017 N BOB YOUNKIN DR, SUITE 101, FAYETTEVILLE, AR 72703-3926
(479) 521-1484
(479) 521-1550
Mailing address
3017 N BOB YOUNKIN DR, SUITE 101, FAYETTEVILLE, AR 72703-3926
(479) 521-1484
(479) 521-1550
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
N8290
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130868001
—
AR
01
—
1652645001
QUALCHOICE
AR
05
—
200062630A
—
OK
Enumeration date
07/26/2006
Last updated
06/11/2008
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