Individual
DR. PHILIP DUNN ELANGWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2420 ROGERS AVE, FORT SMITH, AR 72901-4164
(479) 782-0244
(479) 782-0267
Mailing address
2420 ROGERS AVE, FORT SMITH, AR 72901-4164
(479) 782-0244
(479) 709-7053
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E5047
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172829001
—
AR
05
—
200169740A
—
OK
Enumeration date
09/29/2006
Last updated
08/05/2021
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