Individual
DR. ROY DALE CLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
451 S HOLLY ST, SILOAM SPRINGS, AR 72761-3018
(479) 524-3141
(479) 524-3090
Mailing address
451 S HOLLY ST, SILOAM SPRINGS, AR 72761-3018
(479) 524-3141
(479) 524-3090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C5385
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51059
BCBS AR
AR
Enumeration date
05/10/2006
Last updated
07/09/2007
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