Individual
RONALD J WAUTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2908 HAWKINS DR, SEARCY, AR 72143-4802
(501) 203-0055
Mailing address
2900 HAWKINS DR, SEARCY, AR 72143-4802
(501) 203-0055
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E3679
AR
2084P0804X
Child & Adolescent Psychiatry Physician
E3679
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149267001
—
AR
Enumeration date
05/03/2006
Last updated
04/30/2025
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