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Individual

DR. CARL A. ENGMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3101 SE 14TH ST, BENTONVILLE, AR 72712-4900
(479) 636-9234
(479) 636-0774
Mailing address
3101 SE 14TH ST, BENTONVILLE, AR 72712-4900
(479) 636-9234
(479) 636-0774

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
E4655
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
159137001
AR
Enumeration date
05/16/2006
Last updated
12/14/2011
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