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JEFFREY JOHN CARFAGNO MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1073616934

Individual Registrant:
 JEFFREY JOHN CARFAGNO MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1900 CLUB MANOR DR STE 105  MAUMELLE, AR 72113-7443 US
Tel: 501-851-8100  Fax: 501-851-4712

Contact information for business:
1900 CLUB MANOR DR STE 105  MAUMELLE, AR 72113-7443 US
Tel: 501-851-8100  Fax: 501-851-4712

Registration Information:
NPI: 1073616934
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
ARC6805

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD51945AR01
116678001AR05
QUALCHOICE1120000004001
UNITED HEALTHCARE1670460AR01
RR MEDICARE08003733101




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