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Dr. Craig R Bardell, M.D.

Family Medicine in Forrest City, AR. Individual provider (NPI-1).

NPI number1184632705
StatusActive
Last updated in NPPESMar 19, 2018

Details

NPI
1184632705
Entity type
Individual (NPI-1)
Name
Dr. Craig R Bardell
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 3, 2006
Last updated
Mar 19, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineE3993ARYes

Practice location

1509 N Division St
Forrest City, AR 72335-2067

Phone 570-640-4630

Mailing address

Po Box 869
Forrest City, AR 72336-0869

Phone 570-640-4630

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