Provider Demographics
NPI:1407075732
Name:CORDELL, CARI L (MD)
Entity Type:Individual
Prefix:
First Name:CARI
Middle Name:L
Last Name:CORDELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 21850
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71903-1850
Mailing Address - Country:US
Mailing Address - Phone:501-321-2663
Mailing Address - Fax:501-321-9705
Practice Address - Street 1:1662 HIGDON FERRY RD
Practice Address - Street 2:SUITE 300
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-6999
Practice Address - Country:US
Practice Address - Phone:501-321-2663
Practice Address - Fax:501-321-9705
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARE-7067207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR188102001Medicaid