Individual
JOE CLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 SKYLINE DR, RUSSELLVILLE, AR 72801-3363
(479) 890-2432
Mailing address
101 SKYLINE DR, RUSSELLVILLE, AR 72801-3363
(479) 890-2432
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C6155
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111054001
—
AR
01
—
51074
ARK BLUECROSS
AR
Enumeration date
03/24/2006
Last updated
06/13/2008
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