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Individual

DR. JOSEPH WILLIAM REARDON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
406 RODGERS DR, SEARCY, AR 72143-7433
(501) 279-7979
(501) 305-3535
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 347-3492

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01052011A
IN
207Q00000X
Family Medicine Physician
Primary
E-6132
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
178688001
AR
Enumeration date
04/04/2006
Last updated
03/29/2010
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