Individual
JEFFREY D. HAMBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 NORTHRIDGE DR, VAN BUREN, AR 72956-6668
(479) 922-9355
(479) 922-2047
Mailing address
PO BOX 6968, 30 NORTHRIDGE DRIVE, VAN BUREN, AR 72956-0961
(479) 922-9355
(479) 922-2047
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E-0957
AR
207Q00000X
Family Medicine Physician
Primary
E-0957
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131118001
—
AR
01
—
5K256
BLUECROSS BLUESHIELD
AR
Enumeration date
01/11/2006
Last updated
04/08/2014
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