Individual provider · NPI-1
Edmond Ashcraft, MD
Pediatrics, Developmental - Behavioral Pediatrics · Little Rock, AR
NPI number1801986468
StatusActive
Last updated in NPPESJul 31, 2007
Details
- NPI
- 1801986468
- Entity type
- Individual (NPI-1)
- Name
- Edmond Ashcraft
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 13, 2006
- Last updated
- Jul 31, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0006X | Pediatrics, Developmental - Behavioral Pediatrics | C-5029 | AR | Yes |
Practice location
800 Marshall St # 653Little Rock, AR 72202-3510
Phone 501-364-1100
Mailing address
800 Marshall St # 653Little Rock, AR 72202-3510
Phone 501-364-1100
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