Individual
STEVEN A EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3215 N NORTH HILLS BLVD, HOSPITAL MEDICINE GROUP, FAYETTEVILLE, AR 72703
(479) 463-1000
Mailing address
12 E APPLEBY, CLINIC ADMINISTRATION, FAYETTEVILLE, AR 72703
(479) 463-1704
(479) 463-7864
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C4929
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100079950B
—
OK
05
—
105806001
—
AR
Enumeration date
10/04/2005
Last updated
09/22/2009
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