Individual
DR. MIKE BERUMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2713 S 74TH ST, SUITE 301, FORT SMITH, AR 72903-5170
(479) 484-7100
(479) 478-7255
Mailing address
2713 S 74TH ST, SUITE 301, FORT SMITH, AR 72903-5170
(479) 484-7100
(479) 478-7255
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
R3019
AR
Other
Enumeration date
05/02/2006
Last updated
07/08/2007
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