St Vincent Medical Group

NPI 1134176480 - Internal Medicine - 207R00000X

NPI Details
NPI 1134176480
Enumeration Date 05/30/2006
Last Updated 04/18/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JEFF JEFF
Position DELEGATED OFFICIAL
Phone (501) 552-3592
Fax (501) 552-4129
Practice Location
701 N UNIVERSITY AVE
STE 201
LITTLE ROCK AR, 72205-2936, US
Phone (501) 552-3592
Fax (501) 552-4129
Business Location
PO BOX 23410
LITTLE ROCK AR, 72221-3410, US
Phone (501) 552-3592
Fax (501) 552-4129
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, St Vincent Medical Group NPI is 1134176480, taxonomy code is 207R00000X St Vincent Medical Group physically located at 701 N University Ave, Little Rock AR, 72205-2936. NPI Number 1033115704 has the healthcare provider type.

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1134176480 NPI number is provided on an as is basis without warranty of any kind. 1134176480 is maintained by the National Plan & Provider Enumeration System. The contents of St Vincent Medical Group are for informational purposes only.