Individual
JEFFREY C BEARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1708 E JOYCE BLVD STE 2, FAYETTEVILLE, AR 72703-5250
(479) 222-1144
(833) 973-4866
Mailing address
1708 E JOYCE BLVD STE 2, FAYETTEVILLE, AR 72703-5250
(479) 222-1144
(833) 973-4866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C8415
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124605001
—
AR
Enumeration date
04/10/2006
Last updated
12/04/2024
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