Organization
GREGG L MASSANELLI MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG L MASSANELLI MD (PHYSICIAN)
(870) 862-1144
Entity
Organization
Contact information
Practice address
2700 VINE ST, EL DORADO, AR 71730-6700
(870) 862-1144
(870) 881-8154
Mailing address
2700 VINE ST, EL DORADO, AR 71730-6700
(870) 862-1144
(870) 881-8154
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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