Healthcare Provider Details

I. General information

NPI: 1831121037
Provider Name (Legal Business Name): DEWEY R MCAFEE DO PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710-A DEWITT HENRY DRIVE
BEEBE AR
72012
US

IV. Provider business mailing address

PO BOX 848
BEEBE AR
72012-0848
US

V. Phone/Fax

Practice location:
  • Phone: 501-882-5433
  • Fax: 501-882-2512
Mailing address:
  • Phone: 501-882-5433
  • Fax: 501-882-2512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DEWEY R MCAFEE
Title or Position: PROVIDER
Credential: D.O.
Phone: 501-882-5433