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Individual

SUSAN K DELAP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2215 WILDWOOD AVE, SUITE 204, SHERWOOD, AR 72120-5089
(501) 753-2424
(501) 753-2733
Mailing address
2215 WILDWOOD AVE, SUITE 204, SHERWOOD, AR 72120-5089
(501) 753-2424
(501) 753-2733

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E0434
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
135543001
AR
Enumeration date
02/01/2006
Last updated
07/28/2008
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