Provider Demographics
NPI:1467424580
Name:SCRIBER, LADD J (MD)
Entity Type:Individual
Prefix:
First Name:LADD
Middle Name:J
Last Name:SCRIBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 E MATTHEWS AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-3150
Mailing Address - Country:US
Mailing Address - Phone:870-932-2926
Mailing Address - Fax:870-932-1560
Practice Address - Street 1:303 E MATTHEWS AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-3150
Practice Address - Country:US
Practice Address - Phone:870-932-2926
Practice Address - Fax:870-932-1560
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC-4406208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR101719001Medicaid
AR340017800OtherRAILROAD MEDICARE
AR340017800OtherRAILROAD MEDICARE
AR101719001Medicaid