# PRIME ENDOCRINOLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prime Endocrinology LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306489406
- **Authorized official:** ARCHANA JARATHI MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (501) 455-7009

## Contact information

- **Practice address:** 11321 INTERSTATE 30 STE 200, LITTLE ROCK, AR 72209-7066
- **Practice address phone:** (501) 455-7009
- **Practice address fax:** (501) 455-7026
- **Mailing address:** 11321 INTERSTATE 30 STE 200, LITTLE ROCK, AR 72209-7066
- **Mailing address phone:** (501) 455-7009
- **Mailing address fax:** (501) 455-7026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/21/2019
- **Last updated:** 10/21/2019