Individual
DR. HERBERT F FENDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4010 S MULBERRY ST, PINE BLUFF, AR 71603-7000
(870) 541-6008
(870) 541-3198
Mailing address
4010 S MULBERRY ST, PINE BLUFF, AR 71603-7000
(870) 541-6008
(870) 541-3198
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C4475
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110421001
—
AR
Enumeration date
06/28/2006
Last updated
09/06/2012
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