Individual
DR. FRED G NAGEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 CLUB MANOR DR, SUITE 2, MAUMELLE, AR 72113-7400
(501) 851-7400
(501) 851-4753
Mailing address
1701 CLUB MANOR DR, SUITE 2, MAUMELLE, AR 72113-7400
(501) 851-7400
(501) 851-4753
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C68072
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113243001
—
AR
Enumeration date
08/04/2006
Last updated
02/28/2012
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