Natural State Integrative Medicine, P.A.
Family Medicine in Little Rock, AR. Organization (NPI-2).
NPI number1669938684
StatusActive
Last updated in NPPESFeb 14, 2019
Details
- NPI
- 1669938684
- Entity type
- Organization (NPI-2)
- Legal business name
- Natural State Integrative Medicine, P.A.
- Organization subpart
- No
- Enumeration date
- Feb 14, 2019
- Last updated
- Feb 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
12911 Cantrell Rd Ste 4Little Rock, AR 72223-1710
Phone 501-224-1224 · Fax 501-224-1230
Mailing address
12911 Cantrell Rd Ste 4Little Rock, AR 72223-1710
Phone 501-224-1224 · Fax 501-224-1230
Authorized official
Chad Dawson
Associate
5012241224
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