Individual
RODNEY K MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
616 S 17TH ST, FORT SMITH, AR 72901-4700
(479) 434-3333
(479) 434-3535
Mailing address
616 S 17TH ST, FORT SMITH, AR 72901-4700
(479) 434-3333
(479) 434-3535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E2441
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100052490A
—
OK
05
—
142890001
—
AR
Enumeration date
05/04/2006
Last updated
09/17/2014
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