Individual
RICHARD H SUNDERMANN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 SKYLINE DRIVE, RUSSELLVILLE, AR 72801
(479) 968-1298
(479) 968-6053
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 750-4843
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E-0237
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126513001
—
AR
Enumeration date
11/20/2006
Last updated
04/21/2020
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