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Gregg L Massanelli, MD
Specialist in El Dorado, Arkansas
NPI 1538156492

Gregg L Massanelli is a Specialist based in El Dorado, AR. Gregg L Massanelli practices in El Dorado, AR and has the professional credentials of MD. The NPI Number for Gregg L Massanelli is 1538156492 and holds a License No. C8449 (Arkansas).

The current practice location address for Gregg L Massanelli is 2700 Vine St, El Dorado, AR and can be reached out via phone at 870-862-1144 and via fax at 870-864-0782.

Location: 2700 Vine St, El Dorado, AR, 71730-0028
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538156492
Provider Name
Gregg L Massanelli
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2700 Vine St, El Dorado, AR, 71730-0028
Phone Number
870-862-1144
Fax Number
870-864-0782
Provider Enumeration Date
10/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0424120002 01 AR DMEPOS
132799001 05 AR
200042894 01 AR UNITED /RAILROAD MEDICARE
17802000000 01 AR QUALCHOICE
institution
Provider Business Practice Location Address Details
Address
2700 Vine St
City
El Dorado
State
Arkansas
Zip
71730-6700
Phone Number
870-862-1144
Fax Number
870-864-0782
person
Provider Business Mailing Address Details
Address
2700 Vine St
City
El Dorado
State
Arkansas
Zip
71730-6700
Phone Number
870-862-1144
Fax Number
870-864-0782
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
C8449 (Arkansas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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