Provider Demographics
NPI:1831121037
Name:DEWEY R MCAFEE DO PA
Entity Type:Organization
Organization Name:DEWEY R MCAFEE DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DEWEY
Authorized Official - Middle Name:R
Authorized Official - Last Name:MCAFEE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:501-882-5433
Mailing Address - Street 1:PO BOX 848
Mailing Address - Street 2:
Mailing Address - City:BEEBE
Mailing Address - State:AR
Mailing Address - Zip Code:72012-0848
Mailing Address - Country:US
Mailing Address - Phone:501-882-5433
Mailing Address - Fax:501-882-2512
Practice Address - Street 1:710-A DEWITT HENRY DRIVE
Practice Address - Street 2:
Practice Address - City:BEEBE
Practice Address - State:AR
Practice Address - Zip Code:72012
Practice Address - Country:US
Practice Address - Phone:501-882-5433
Practice Address - Fax:501-882-2512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5F671Medicare ID - Type UnspecifiedMEDICARE