Roy Dale Clemens, M.D.
Individual provider Active NPI Family Medicine Physician · Siloam Springs, AR
NPI 1992755367 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1992755367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- C5385 (AR)
- Practice address
- 451 S Holly St
Siloam Springs, AR 72761-3018 - Phone
- (479) 524-3141
- Fax
- (479) 524-3090
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5385 | AR | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C5385 | AR | Yes |
Addresses
Primary practice location
451 S Holly St
Siloam Springs, AR 72761-3018
Mailing address
451 S Holly St
Siloam Springs, AR 72761-3018
Phone (479) 524-3141
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51059 | Other | AR | BCBS AR |
Other names
- R Dale Clemens
Other providers in Siloam Springs, AR
- Brittany Cifuentes
- City of Siloam Springs
- Jamie Janelle Claborn
- Veronica Ann Clarke
- Holly Clayton
- Kathleen Ellen Clendenen
- Quaileen Lyndon Clifton
- Bradley Clyne
- Whitly Nicole Cochran
- Jacob Cazort Cockcroft
All providers in Siloam Springs, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.