Individual
DR. JEANINE A ANDERSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204
(501) 664-4088
(501) 664-7113
Mailing address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204
(501) 664-4088
(501) 664-7113
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
E-3400
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157561001
—
AR
01
—
5N258C207
MEDICARE
AR
Enumeration date
01/06/2006
Last updated
03/28/2018
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