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Dr. Tie S. Ong, MD
Specialist in El Dorado, Arkansas
NPI 1992812390

Tie S. Ong is a Specialist based in El Dorado, AR. Tie S. Ong practices in El Dorado, AR and has the professional credentials of MD. The NPI Number for Tie S. Ong is 1992812390 and holds a License No. R3031 (Arkansas).

The current practice location address for Tie S. Ong is 700 W Grove St, El Dorado, AR and can be reached out via phone at 870-862-1577. You can also correspond with Tie S. Ong through the mailing address at 611 THOMPSON AVE, EL DORADO, AR - 71730-4557 (mailing address contact number: 870-862-1577).

Location: 700 W Grove St, El Dorado, AR, 71730-4557
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992812390
Provider Name
Tie S. Ong
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
700 W Grove St, El Dorado, AR, 71730-4557
Phone Number
870-862-1577
Fax Number
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R3031 01 AR ST. MED.LICENSE #
5C070 01 AR GRP.'S MCARE PROV.#
institution
Provider Business Practice Location Address Details
Address
700 W Grove St
City
El Dorado
State
Arkansas
Zip
71730-4416
Phone Number
870-862-1577
Fax Number
person
Provider Business Mailing Address Details
Address
611 Thompson Ave
City
El Dorado
State
Arkansas
Zip
71730-4557
Phone Number
870-862-1577
Fax Number
870-862-5916
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
R3031 (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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