Dr. Gene Bruce Waldon, MD
Hospitalist in Bentonville, AR. Individual provider (NPI-1).
NPI number1790733301
StatusActive
Last updated in NPPESFeb 6, 2013
Details
- NPI
- 1790733301
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gene Bruce Waldon
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 5, 2006
- Last updated
- Feb 6, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | C4981 | AR | Yes |
| 207R00000X | Internal Medicine | MD28692 | OR | |
| 208M00000X | Hospitalist | MD28692 | OR | |
| 207R00000X | Internal Medicine | C4981 | AR |
Practice location
3000 Medical Center ParkwayBentonville, AR 72712
Phone 479-553-2524 · Fax 479-553-2522
Mailing address
3000 Medical Center ParkwayBentonville, AR 72712
Phone 479-553-2524 · Fax 479-553-2522
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