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Organization
NORTH LITTLE ROCK PET ASSOCIATES, LLC
Active
Organization
NORTH LITTLE ROCK PET ASSOCIATES, LLC
Active
Other names
CENTRAL AR PET
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY WICKERSHAM (VP OF OPERATIONS)
(404) 418-2200
Entity
Organization
Contact information
Practice address
3500 SPRINGHILL DR, STE 100, N LITTLE ROCK, AR 72117-2950
(501) 687-1154
(501) 687-1289
Mailing address
PO BOX 15603, LITTLE ROCK, AR 72231-5603
(501) 687-1154
(501) 687-1289
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
ARK-991-AP-BP-08-12
AR
Other
Enumeration date
03/29/2006
Last updated
08/22/2020
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