Individual
DR. ROSS EDDINGTON HALSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 HWY 65 N, SUITE 230, HARRISON, AR 72601-3911
(870) 414-5400
(870) 414-5401
Mailing address
1401 HWY 65 N, SUITE 230, HARRISON, AR 72601-3911
(870) 414-5400
(870) 414-5401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E7193
AR
207V00000X
Obstetrics & Gynecology Physician
E7193
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198759001
—
AR
01
—
5UU32
ARKANSAS BLUE CROSS BLUE SHIELD
AR
Enumeration date
07/14/2010
Last updated
09/20/2023
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