Individual
JERAN ELLIOT TRANGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(479) 463-1000
Mailing address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(794) 631-0004
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E15795
AR
Other
Enumeration date
03/28/2019
Last updated
06/05/2023
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