Healthcare Provider Details

I. General information

NPI: 1992715700
Provider Name (Legal Business Name): PETER W. GURESKY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 03/17/2020
Certification Date: 03/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 BAY RIDGE LOOP
HOT SPRINGS AR
71901-9272
US

IV. Provider business mailing address

PO BOX 2365
HOT SPRINGS AR
71914-2365
US

V. Phone/Fax

Practice location:
  • Phone: 501-262-2047
  • Fax:
Mailing address:
  • Phone: 501-624-7111
  • Fax: 501-262-0335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberC-7700
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: