Individual
DR. JEFFREY B MAROTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
495 HOGAN LANE, SUITE 2, CONWAY, AR 72034
(501) 327-5850
(501) 327-4910
Mailing address
495 HOGAN LANE, SUITE 2, CONWAY, AR 72034
(501) 327-5850
(501) 327-4910
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
E-4464
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159858001
—
AR
Enumeration date
02/27/2006
Last updated
01/27/2011
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