George Ryan Declerk, M.D.

NPI #1205037611 in Rogers, Arkansas

Provider Information

NPI Number: 1205037611
Entity Type: Individual
Name: George Ryan Declerk, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: May 31, 2007
Last Updated: Sep 9, 2020

Practice Location

Address: 2603 W PLEASANT GROVE RD
Address 2: SUITE 109
City: Rogers
State: Arkansas
ZIP Code: 72758-5804
Phone: (479) 636-4138

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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