Individual
DR. HERBERT ANDERSON LEWIS IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ST MARY'S HOSPITALIST GROUP, 1808 W MAIN ST, RUSSELLVILLE, AR 72801-2724
(479) 964-4178
Mailing address
1808 W MAIN ST, RUSSELLVILLE, AR 72801-2724
(479) 444-7820
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E-7839
AR
207Q00000X
Family Medicine Physician
Primary
E-7839
AR
208M00000X
Hospitalist Physician
E-7839
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199346001
—
AR
Enumeration date
06/27/2011
Last updated
08/05/2021
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