Little Rock Dermatology Clinic P.a.

NPI 1215005731 - Dermatology - 207N00000X

NPI Details
NPI 1215005731
Enumeration Date 12/01/2006
Last Updated 08/31/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARION MARION
Position OFFICE MANAGER
Phone (501) 664-4161
Fax (501) 664-6108
Practice Location
500 S UNIVERSITY AVE
301
LITTLE ROCK AR, 72205-5302, US
Phone (501) 664-4161
Fax (501) 664-6108
Business Location
500 S UNIVERSITY AVE
301
LITTLE ROCK AR, 72205-5302, US
Phone (501) 664-4161
Fax (501) 664-6108
Toxanomy
Taxonomy Code 207N00000X
License State Arkansas
License Number 5C206
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According to our database, Little Rock Dermatology Clinic P.a. NPI is 1215005731, taxonomy code is 207N00000X and license number is 5C206, license state is located at Arkansas. Little Rock Dermatology Clinic P.a. physically located at 500 S University Ave, Little Rock AR, 72205-5302. NPI Number 1033115704 has the healthcare provider type.

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1215005731 NPI number is provided on an as is basis without warranty of any kind. 1215005731 is maintained by the National Plan & Provider Enumeration System. The contents of Little Rock Dermatology Clinic P.a. are for informational purposes only.