Individual
DR. GENE BRUCE WALDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 MEDICAL CENTER PARKWAY, BENTONVILLE, AR 72712
(479) 553-2524
(479) 553-2522
Mailing address
3000 MEDICAL CENTER PARKWAY, BENTONVILLE, AR 72712
(479) 553-2524
(479) 553-2522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C4981
AR
207R00000X
Internal Medicine Physician
MD28692
OR
208M00000X
Hospitalist Physician
Primary
C4981
AR
208M00000X
Hospitalist Physician
MD28692
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500601380
—
OR
Enumeration date
05/05/2006
Last updated
02/06/2013
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