# UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
- **Other names:** SW Community Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285307744
- **Legal business name:** UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
- **Authorized official:** AMANDA D GEORGE (VICE CHANCELLOR-CHIEF FINANCIAL OFF)
- **Authorized official phone:** (501) 686-5670

## Contact information

- **Practice address:** 9015 DAILEY DR, LITTLE ROCK, AR 72209-6215
- **Practice address phone:** (501) 364-6560
- **Practice address fax:** (501) 364-4020
- **Mailing address:** 9015 DAILEY DR, LITTLE ROCK, AR 72209-6215
- **Mailing address phone:** (501) 364-6560
- **Mailing address fax:** (501) 364-4020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/29/2021
- **Last updated:** 07/29/2021
