# ARKANSAS DEPARTMENT OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063683605
- **Authorized official:** DR. RICHARD R NUGENT M.D., MPH (BRANCH CHIEF)
- **Authorized official phone:** (501) 661-2086

## Contact information

- **Practice address:** 611 E WASHINGTON AVE, SUITE B, JONESBORO, AR 72401-3070
- **Practice address phone:** (870) 933-6247
- **Mailing address:** 4815 W MARKHAM ST, SLOT H 16, LITTLE ROCK, AR 72205-3866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2008
- **Last updated:** 03/21/2008