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Organization
PRIME ENDOCRINOLOGY LLC
Active
Organization
PRIME ENDOCRINOLOGY LLC
Active
Other names
Prime Endocrinology LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ARCHANA JARATHI MD (MEDICAL DIRECTOR)
(501) 455-7009
Entity
Organization
Contact information
Practice address
11321 INTERSTATE 30 STE 200, LITTLE ROCK, AR 72209-7066
(501) 455-7009
(501) 455-7026
Mailing address
11321 INTERSTATE 30 STE 200, LITTLE ROCK, AR 72209-7066
(501) 455-7009
(501) 455-7026
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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