Walker Internal Medicine Clinic Pa

NPI 1508082389 - Specialist - 174400000X

NPI Details
NPI 1508082389
Enumeration Date 04/18/2007
Last Updated 04/30/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SHANDRA DENICE SHANDRA
Position TEAM COORDINATOR
Phone (501) 219-1028
Fax (501) 219-1174
Practice Location
9600 LILE DR
#220
LITTLE ROCK AR, 72205, US
Phone (501) 219-1028
Fax (501) 219-1174
Business Location
11001 EXECUTIVE CENTER DR
STE 200
LITTLE ROCK AR, 72211-4316, US
Phone (501) 812-7800
Fax (501) 812-7851
Toxanomy
Taxonomy Code 174400000X
License State Arkansas
License Number C8337
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According to our database, Walker Internal Medicine Clinic Pa NPI is 1508082389, taxonomy code is 174400000X and license number is C8337, license state is located at Arkansas. Walker Internal Medicine Clinic Pa physically located at 9600 Lile Dr, Little Rock AR, 72205. NPI Number 1033115704 has the healthcare provider type.

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1508082389 NPI number is provided on an as is basis without warranty of any kind. 1508082389 is maintained by the National Plan & Provider Enumeration System. The contents of Walker Internal Medicine Clinic Pa are for informational purposes only.