Organization · NPI-2

Arkansas Family Medicine PA

Family Medicine · Little Rock, AR

NPI number1902340052
StatusActive
Last updated in NPPESDec 8, 2016

Details

NPI
1902340052
Entity type
Organization (NPI-2)
Legal business name
Arkansas Family Medicine PA
Organization subpart
No
Enumeration date
Dec 8, 2016
Last updated
Dec 8, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

15400 Chenal Pkwy
Suite 130
Little Rock, AR 72211-2016

Phone 501-725-7919

Mailing address

15400 Chenal Pkwy
Suite 130
Little Rock, AR 72211-2016

Phone 501-725-7919

Authorized official

Allison Richardson
Owner
5017257919

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Little Rock, AR