Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | E12412 | AR |
Y | 207XS0106X | Orthopaedic Hand Surgeon | E12412 | AR |
N | 2086S0105X | Surgery of the Hand | E12412 | AR |
NPI | 1245673938 |
---|---|
Provider Name | Andreas J. Chen |
First Address | Rogers, AR 72758-8610 |
Second Address | Rogers, AR 72758 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2013 |
Last Update Date | 19/10/2020 |