Easy Access Healthcare Medical Clinic

NPI 1063736791 - Clinic/Center - 261QU0200X

NPI Details
NPI 1063736791
Enumeration Date 03/24/2010
Last Updated 03/24/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name WANNETTA WANNETTA
Position APN-FAMILY PRACTITIONER
Phone (501) 221-1831
Fax
Practice Location
105 N RODNEY PARHAM RD
LITTLE ROCK AR, 72205-2421, US
Phone (501) 221-1831
Fax
Business Location
105 N RODNEY PARHAM RD
LITTLE ROCK AR, 72205-2421, US
Phone (501) 221-1831
Fax
Toxanomy
Taxonomy Code 261QU0200X
License State Arkansas
License Number ATP-000264
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According to our database, Easy Access Healthcare Medical Clinic NPI is 1063736791, taxonomy code is 261QU0200X and license number is ATP-000264, license state is located at Arkansas. Easy Access Healthcare Medical Clinic physically located at 105 N Rodney Parham Rd, Little Rock AR, 72205-2421. NPI Number 1033115704 has the healthcare provider type.

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1063736791 NPI number is provided on an as is basis without warranty of any kind. 1063736791 is maintained by the National Plan & Provider Enumeration System. The contents of Easy Access Healthcare Medical Clinic are for informational purposes only.