Organization · NPI-2

Arkansas Children'S Medical Group PLLC

Pediatrics · Little Rock, AR

NPI number1396274841

StatusActive

Last updated in NPPESJul 7, 2022

Details

NPI: 1396274841
Entity type: Organization (NPI-2)
Legal business name: Arkansas Children'S Medical Group PLLC
Organization subpart: No
Enumeration date: Jun 8, 2017
Certification date: Jul 7, 2022
Last updated: Jul 7, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208000000X	Pediatrics	–	–	Yes
2080P0204X	Pediatrics, Pediatric Emergency Medicine	–	–
2080P0205X	Pediatrics, Pediatric Endocrinology	–	–
2080P0207X	Pediatrics, Pediatric Hematology-Oncology	–	–

Practice location

1 Childrens Way # 844
Little Rock, AR 72202-3500

Phone 501-364-2090 · Fax 501-364-3929

Mailing address

1 Childrens Way # 844
Little Rock, AR 72202-3500

Phone 501-364-2090 · Fax 501-364-3929

Other practice locations

900 S 52nd St
Rogers, AR 72758-8637

Phone 479-254-1100

2601 Gene George Blvd
Springdale, AR 72762-0845

Phone 479-725-6801

1500 W 42nd Ave
Pine Bluff, AR 71603-7018

Phone 870-341-5820

Authorized official

Robert S Williams
President
5013642090

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