Individual
DERRICK LE'MON SLOAN JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD SLOAN
Contact information
Practice address
900 N 7TH ST, WEST MEMPHIS, AR 72301-2001
(574) 943-5094
Mailing address
3119 S PALM ST, PINE BLUFF, AR 71603-5772
(708) 846-4789
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
IS456210
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4642271023
—
AR
Enumeration date
03/10/2022
Last updated
03/10/2022
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