Individual
MICHAEL S COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6100 MASSARD RD, FORT SMITH, AR 72916-8886
(479) 709-7250
(479) 709-7251
Mailing address
PO BOX 11449, BELFAST, ME 04915-4005
(479) 709-1924
(479) 709-7499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C5870
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100079840A
—
AR
05
—
113298001
—
AR
Enumeration date
09/26/2005
Last updated
11/23/2016
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