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Organization

D&D DOCTORS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANJAY R DASS MD (MEDICAL DIRECTOR)
(501) 626-0053
Entity
Organization

Contact information

Practice address
20602 ARCH STREET PIKE, HENSLEY, AR 72065-9442
(347) 851-0116
(501) 891-5672
Mailing address
20602 ARCH STREET PIKE, HENSLEY, AR 72065-9442
(347) 851-0116
(501) 891-5672

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E4008
AR
207QG0300X
Geriatric Medicine (Family Medicine) Physician
E4008
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
157860001
AR
01
5N254
MEDICARE
AR
Enumeration date
05/17/2017
Last updated
07/09/2024
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