Doctor Name: | ROBERT E BREVING |
NPI Number: | 1003887217 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 201408921 |
Business Practice Address: | 1900 Malvern Ave Suite 302 Hot Springs, AR - 719017759 |
Business Phone Number: | 5016239300 |
Business Fax Number: | 5016239305 |
Mailing Address: | 1900 Malvern Ave, Suite 302 HOT SPRINGS |
State: | AR |
Postal Code: | 719017759 |
Phone Number: | 5016239300 |
Fax Number: | 5016239305 |
NPI Enumeration Date: | 01/27/2006 |
NPI Last Update Date: | 12/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | 201408921 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |