Individual
DR. FRANK G THIBAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 N EAST ST, BENTON, AR 72015-3327
(501) 315-7774
(501) 315-7772
Mailing address
910 N EAST ST, BENTON, AR 72015-3327
(501) 315-7774
(501) 315-7772
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C4061
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105455001
—
AR
Enumeration date
12/27/2006
Last updated
06/29/2008
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