Individual
DR. GERALD EUGENE WAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5500 ELLSWORTH RD., FORT SMITH, AR 72903-3222
(479) 242-2411
(479) 242-2412
Mailing address
5500 ELLSWORTH RD, FORT SMITH, AR 72903-3222
(479) 242-2411
(479) 242-2412
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
R1930
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105683001
—
AR
01
—
55442
BLUE CROSS
AR
Enumeration date
05/17/2006
Last updated
04/01/2016
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