Individual
BURTON BLEDSOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
609 W MAPLE AVE, SPRINGDALE, AR 72764-5335
(479) 757-5282
(479) 751-2977
Mailing address
601 W MAPLE AVE, SUITE 704, SPRINGDALE, AR 72764-5335
(479) 757-5282
(479) 757-2977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E1516
AR
208M00000X
Hospitalist Physician
Primary
E-1516
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134131001
—
AR
Enumeration date
06/01/2006
Last updated
04/02/2013
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