Gregg Carnell Easter

NPI 1356477160 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1356477160
Gender Male
Enumeration Date 02/26/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
6501 W 12TH ST
LITTLE ROCK AR, 72204-1511, US
Phone (501) 666-8686
Fax
Business Location
PO BOX 251970
LITTLE ROCK AR, 72225-1970, US
Phone (501) 666-8686
Fax (501) 660-6830
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Gregg Carnell Easter NPI is 1356477160, taxonomy code is 171M00000X Gregg Carnell Easter physically located at 6501 W 12th St, Little Rock AR, 72204-1511. NPI Number Gregg Carnell Easter has the Individual type.

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1356477160 NPI number is provided on an as is basis without warranty of any kind. 1356477160 is maintained by the National Plan & Provider Enumeration System. The contents of Gregg Carnell Easter are for informational purposes only.