Darrell R Over in Pine Bluff - Family Medicine

Darrell R Over - NPI 1700842218

Darrell R Over is a Family Medicine in Pine Bluff, Arkansas. Darrell R Over practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Darrell R Over is 1700842218. The last update date is 2013-02-07.

Darrell R Over's current location address is 4010 S Mulberry St, Pine Bluff, Arkansas. You can contact this provider via phone number 8705416008 and fax number 8705413198. The mailing address for Darrell R Over is 4010 S Mulberry St, Pine Bluff, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Darrell R Over
Address 4010 S Mulberry St, Pine Bluff, Arkansas
Phone Number 8705416008
Fax Number 8705413198
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1700842218
Provider Enumeration Date 2006-04-24
Last Updated Date 2013-02-07

Provider Mailing Address Detail

Address 4010 S Mulberry St
City Pine Bluff
State Arkansas (AR)
Post Code 716037000
Phone Number 8705416008
Fax Number 8705413198

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No E-1462
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5K560 AR MEDICARE
18887000002 AR QUAL CHOICE
G53750 AR UPIN
132760001 AR --

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FAQs about Darrell R Over

What is the unique identification code assigned to Darrell R Over by the Centers for Medicare & Medicaid Services?

The Darrell R Over has been issued the NPI (National Provider Identifier) 1700842218. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Darrell R Over?

The Darrell R Over is physically situated at 4010 S Mulberry St, in the city of Pine Bluff, state of AR, with the postal code 716037000.

What is Darrell R Over's area of expertise and its corresponding taxonomy classification?

The Darrell R Over's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Darrell R Over receive the assignment of its 1700842218 from the Centers for Medicare & Medicaid Services?

The Darrell R Over was issued its 1700842218 by the Centers for Medicare & Medicaid Services on 2006-04-24.

When was the information regarding Darrell R Over, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Darrell R Over, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-02-07.

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