Individual
JASON TEAGUE LINDSAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 GREEN VALLEY DR, MOUNTAIN HOME, AR 72653-8102
(870) 701-0490
(870) 701-0491
Mailing address
15 GREEN VALLEY DR, MOUNTAIN HOME, AR 72653-8102
(870) 701-0490
(870) 701-0491
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
E4783
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167290001
—
AR
01
—
E4783
STATE LICENSE
AR
Enumeration date
11/28/2006
Last updated
06/09/2020
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