# SIDAROUS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Rock Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326531534
- **Authorized official:** DR. PETER SIDAROUS MD (OWNER)
- **Authorized official phone:** (717) 319-9672

## Contact information

- **Practice address:** 11521 W MARKHAM ST, LITTLE ROCK, AR 72211-2701
- **Practice address phone:** (501) 502-2765
- **Practice address fax:** (501) 302-1991
- **Mailing address:** 11521 W MARKHAM ST, LITTLE ROCK, AR 72211-2701
- **Mailing address phone:** (501) 502-2765
- **Mailing address fax:** (501) 302-1991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E100-91 | AR | Yes |

## Other

- **Enumeration date:** 06/12/2018
- **Last updated:** 11/13/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 219215001 | — | AR |