Individual
DR. DONNA BERRYMAN BEALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
609 W MAPLE AVE, SPRINGDALE, AR 72764-5335
(479) 751-5711
Mailing address
PO BOX 11134, FORT SMITH, AR 72917-1134
(479) 806-0647
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
E-5626
AR
208M00000X
Hospitalist Physician
E-5626
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171849003
—
AR
05
—
200199440A
—
OK
01
—
5H231
ABCBS
AR
Enumeration date
05/12/2006
Last updated
05/13/2026
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