Provider Demographics
NPI:1760551451
Name:SLOAN, EUGENE EDWARD (MD FACS)
Entity Type:Individual
Prefix:
First Name:EUGENE
Middle Name:EDWARD
Last Name:SLOAN
Suffix:
Gender:M
Credentials:MD FACS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8315 CANTRELL RD
Mailing Address - Street 2:STE 120
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72227
Mailing Address - Country:US
Mailing Address - Phone:501-224-1300
Mailing Address - Fax:501-224-4144
Practice Address - Street 1:8315 CANTRELL RD
Practice Address - Street 2:STE 120
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72227
Practice Address - Country:US
Practice Address - Phone:501-224-1300
Practice Address - Fax:501-224-4144
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARC68852086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
C67845Medicare UPIN