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Individual

MATTHEW B. TOTTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1607 S OLD MISSOURI RD, SPRINGDALE, AR 72764-5723
(479) 463-4887
(479) 463-4886
Mailing address
1607 S OLD MISSOURI RD, SPRINGDALE, AR 72764-5723
(479) 463-4887
(479) 463-4886

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-4492
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
158311001
AR
01
5N335
AR BLUE CROSS/BLUE SHIELD
AR
01
P00346432
RR MCR
AR
Enumeration date
05/23/2006
Last updated
08/15/2012
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