Individual
DR. AIMEE ELIZABETH WIDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
746 WILBURN RD, HEBER SPRINGS, AR 72543-8902
(501) 270-4116
Mailing address
746 WILBURN ROAD, HEBER SPRINGS, AR 72543-8902
(501) 270-4116
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
070011
GA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
E-9529
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003135242G
—
GA
01
—
202I257059
MEDICARE PTAN
GA
Enumeration date
05/30/2008
Last updated
09/01/2016
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