Provider Demographics
NPI:1932188067
Name:ZIEGLER, AUBREY (MD)
Entity Type:Individual
Prefix:DR
First Name:AUBREY
Middle Name:
Last Name:ZIEGLER
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:PO BOX 3528
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72913-3528
Mailing Address - Country:US
Mailing Address - Phone:479-274-2000
Mailing Address - Fax:479-274-2194
Practice Address - Street 1:520 TOWSON AVE STE A
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72901-4624
Practice Address - Country:US
Practice Address - Phone:479-573-7985
Practice Address - Fax:479-573-7987
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC-8481207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR146486001Medicaid
ARA011OtherCHAMPUS
AR146486001Medicaid
AR5M068Medicare PIN