Individual
RAELENE A MAPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
209 POINTER TRL W, VAN BUREN, AR 72956-2238
(479) 474-3399
(479) 474-2338
Mailing address
PO BOX 11450, BELFAST, ME 04915-4005
(479) 709-1924
(479) 709-7499
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E2256
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100218960A
—
OK
05
—
216390003
—
AR
Enumeration date
10/05/2005
Last updated
11/22/2016
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