Provider Demographics
NPI:1093005761
Name:ESMAEILPOUR, DIANNA JONES (MD MS)
Entity Type:Individual
Prefix:
First Name:DIANNA
Middle Name:JONES
Last Name:ESMAEILPOUR
Suffix:
Gender:F
Credentials:MD MS
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:101 W WALNUT ST STE D
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-6662
Mailing Address - Country:US
Mailing Address - Phone:501-441-4980
Mailing Address - Fax:501-441-6282
Practice Address - Street 1:101 W WALNUT ST STE D
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-6662
Practice Address - Country:US
Practice Address - Phone:501-441-4980
Practice Address - Fax:501-441-6282
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-14
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AR2084P0800X2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry