Provider Demographics
NPI:1194758649
Name:DONALD J VOELKER M D LTD
Entity type:Organization
Organization Name:DONALD J VOELKER M D LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:VOELKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:870-863-0333
Mailing Address - Street 1:PO BOX 450
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:AR
Mailing Address - Zip Code:71731-0450
Mailing Address - Country:US
Mailing Address - Phone:870-814-9993
Mailing Address - Fax:870-600-7673
Practice Address - Street 1:301 N WASHINGTON AVE STE 201
Practice Address - Street 2:
Practice Address - City:EL DORADO
Practice Address - State:AR
Practice Address - Zip Code:71730-5666
Practice Address - Country:US
Practice Address - Phone:870-863-0333
Practice Address - Fax:870-864-9680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARE90067Medicare UPIN