Organization · NPI-2

Arkansas Gyn Oncology

Obstetrics & Gynecology, Gynecologic Oncology · Little Rock, AR

NPI number1306069661
StatusActive
Last updated in NPPESApr 23, 2008

Details

NPI
1306069661
Entity type
Organization (NPI-2)
Legal business name
Arkansas Gyn Oncology
Organization subpart
No
Enumeration date
Apr 11, 2007
Last updated
Apr 23, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology––Yes

Practice location

9601 Lile Dr
Suite 850
Little Rock, AR 72205-6321

Phone 501-221-3088 · Fax 501-221-0072

Mailing address

9601 Lile Dr
Suite 850
Little Rock, AR 72205-6321

Phone 501-221-3088 · Fax 501-221-0072

Authorized official

Lawrence Curtis Bandy
Doctor
5012213088

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