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JEFFERY DEOIN ANGEL M.D.

>> Orthopaedic Surgery >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1689630352

Individual Registrant:
 JEFFERY DEOIN ANGEL M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
501 VIRGINIA DR SUITE C BATESVILLE, AR 72501-7331 US
Tel: 870-793-2371  Fax: 870-793-7585

Contact information for business:
501 VIRGINIA DR SUITE C BATESVILLE, AR 72501-7331 US
Tel: 870-793-2371  Fax: 870-793-7585

Registration Information:
NPI: 1689630352
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207X00000XAllopathic & Osteopathic Physicians
Orthopaedic Surgery
ARC-7451

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
PALMETTO GBA RAILROAD200016406AR01
HEALTHLINK248030AR01
MEDICARE - TYPE UNSPECIF52327705201
TRICAREA004AR01
114937001AR05




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