Individual
DR. TONY A FLIPPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7001 ROGERS AVE, FORT SMITH, AR 72903-4073
(479) 314-7490
(479) 314-7494
Mailing address
7001 ROGERS AVE, FORT SMITH, AR 72903-4073
(479) 314-7490
(479) 314-7494
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
C-4986
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102550001
—
AR
01
—
51711
BLUE CROSS/BLUE SHIELD PROVIDER NUMBER
AR
01
—
90000005
RR MEDICARE
—
Enumeration date
07/12/2006
Last updated
09/09/2011
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