The Shot Clinic, Llc

NPI 1275960155 - Clinic/Center - 261QR1300X

NPI Details
NPI 1275960155
Enumeration Date 10/09/2013
Last Updated 10/09/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name FRED E FRED
Position MEDICAL DIRECTOR
Phone (501) 225-7468
Fax (501) 224-1834
Practice Location
10720 N RODNEY PARHAM RD
SUITE B5
LITTLE ROCK AR, 72212-4177, US
Phone (501) 225-7468
Fax (501) 224-1834
Business Location
10720 N RODNEY PARHAM RD
SUITE B5
LITTLE ROCK AR, 72212-4177, US
Phone (501) 225-7468
Fax (501) 224-1834
Toxanomy
Taxonomy Code 261QR1300X
License State Arkansas
License Number C-5114
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According to our database, The Shot Clinic, Llc NPI is 1275960155, taxonomy code is 261QR1300X and license number is C-5114, license state is located at Arkansas. The Shot Clinic, Llc physically located at 10720 N Rodney Parham Rd, Little Rock AR, 72212-4177. NPI Number 1033115704 has the healthcare provider type.

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1275960155 NPI number is provided on an as is basis without warranty of any kind. 1275960155 is maintained by the National Plan & Provider Enumeration System. The contents of The Shot Clinic, Llc are for informational purposes only.