Individual
DR. JEFFERSON ROBERT THURLBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(479) 463-1000
(479) 463-5573
Mailing address
PO BOX 1867, FAYETTEVILLE, AR 72702-1867
(877) 898-9892
(918) 392-2941
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101242416
VA
207L00000X
Anesthesiology Physician
21664
OK
207L00000X
Anesthesiology Physician
Primary
E7407
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191009001
—
AR
Enumeration date
02/09/2006
Last updated
04/17/2012
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