Provider Demographics
NPI:1598285181
Name:DROLSHAGEN, ERIC EUGENE (MD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:EUGENE
Last Name:DROLSHAGEN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11001 EXECUTIVE CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4393
Mailing Address - Country:US
Mailing Address - Phone:479-709-7250
Mailing Address - Fax:479-709-7251
Practice Address - Street 1:6100 MASSARD RD
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72916-8886
Practice Address - Country:US
Practice Address - Phone:479-709-7250
Practice Address - Fax:479-709-7251
Is Sole Proprietor?:No
Enumeration Date:2017-06-23
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-13473207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine