Chenal Family Practice

NPI 1013066513 - Clinic/Center - 261QM2500X

NPI Details
NPI 1013066513
Enumeration Date 01/10/2007
Last Updated 11/03/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROBERT BRUCE ROBERT
Position DOCTOR
Phone (501) 219-1929
Fax (501) 219-0021
Practice Location
11215 HERMITAGE RD
STE 103
LITTLE ROCK AR, 72211-3863, US
Phone (501) 219-1929
Fax (501) 219-0021
Business Location
11215 HERMITAGE RD
STE 103
LITTLE ROCK AR, 72211-3863, US
Phone (501) 219-1929
Fax (501) 219-0021
Toxanomy
Taxonomy Code 261QM2500X
License State Arkansas
License Number 1398
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According to our database, Chenal Family Practice NPI is 1013066513, taxonomy code is 261QM2500X and license number is 1398, license state is located at Arkansas. Chenal Family Practice physically located at 11215 Hermitage Rd, Little Rock AR, 72211-3863. NPI Number 1033115704 has the healthcare provider type.

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1013066513 NPI number is provided on an as is basis without warranty of any kind. 1013066513 is maintained by the National Plan & Provider Enumeration System. The contents of Chenal Family Practice are for informational purposes only.