Individual
DR. DONALD E. IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1910 MALVERN AVE, HOT SPRINGS, AR 71901-7752
(501) 321-1000
Mailing address
PO BOX 22390, HOT SPRINGS, AR 71903-2390
(877) 649-7812
(918) 392-2941
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C8069
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050090474
RR MEDICARE
—
05
—
119258001
—
AR
01
—
54461
AR BCBS
AR
Enumeration date
09/14/2005
Last updated
12/03/2024
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