Individual
CHAD E BREKELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5401 WILLOW CREEK DR, SPRINGDALE, AR 72762-8703
(479) 521-8980
(479) 521-1088
Mailing address
5401 WILLOW CREEK DR, SPRINGDALE, AR 72762-8703
(479) 521-8980
(479) 521-1088
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
E-3636
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149759001
—
AR
Enumeration date
04/25/2006
Last updated
08/06/2020
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