Organization · NPI-2

Arkansas Urogynecology And Womens Health LLC

Obstetrics & Gynecology · Little Rock, AR

NPI number1063258218
StatusActive
Last updated in NPPESDec 5, 2024

Details

NPI
1063258218
Entity type
Organization (NPI-2)
Legal business name
Arkansas Urogynecology And Womens Health LLC
Organization subpart
No
Enumeration date
Jul 8, 2024
Certification date
Dec 5, 2024
Last updated
Dec 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207V00000X Obstetrics & Gynecology––Yes
207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery––
208800000X Urology––
2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery––

Practice location

5 Saint Vincent Cir Ste 300
Little Rock, AR 72205-5417

Phone 501-480-8800 · Fax 501-480-8815

Mailing address

5 Saint Vincent Cir Ste 300
Little Rock, AR 72205-5417

Authorized official

Sallie Oliphant
Authorized Official
4124809664

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