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Physicians Internal Medicine Critical Care Medicine

Provider NPI: 1598843559

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
4301 W MARKHAM ST # 555  LITTLE ROCK, AR 72205-7101 US
Tel: 501-686-5679  Fax: --

Business Mailing Address:
4301 W MARKHAM ST # 555  LITTLE ROCK, AR 72205-7101 US
Tel: 501-686-5679  Fax: --

NPI Information:
NPI: 1598843559
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Internal Medicine
Critical Care Medicine
Internal Medicine

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207RP1001X





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