Provider Demographics
NPI:1356309447
Name:ADDINGTON, ALFRED R (MD)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:R
Last Name:ADDINGTON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2708 RIFE MEDICAL LN
Mailing Address - Street 2:SUITE T40
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-1452
Mailing Address - Country:US
Mailing Address - Phone:479-338-4000
Mailing Address - Fax:479-338-4050
Practice Address - Street 1:2708 RIFE MEDICAL LN
Practice Address - Street 2:SUITE T40
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-1452
Practice Address - Country:US
Practice Address - Phone:479-338-4000
Practice Address - Fax:479-338-4050
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2011-09-24
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Provider Licenses
StateLicense IDTaxonomies
ARR2748207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR101162001Medicaid
AR101162001Medicaid
ARB20781Medicare UPIN