Provider Demographics
NPI:1598109514
Name:MCCURDY, ROBERT MALACHI (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:MALACHI
Last Name:MCCURDY
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 1:901 BURNETT DR
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72653-2908
Mailing Address - Country:US
Mailing Address - Phone:870-425-9120
Mailing Address - Fax:
Practice Address - Street 1:639 BROADMOOR CIR STE 2
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72653-2901
Practice Address - Country:US
Practice Address - Phone:870-508-6960
Practice Address - Fax:870-508-6965
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-21
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE11107208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery