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Organization
LITTLE ROCK FERTILITY CENTER
Active
Organization
LITTLE ROCK FERTILITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH L HUMPHRIESH MNSC (CLINICAL ADMINISTRATOR)
(501) 801-1200
Entity
Organization
Contact information
Practice address
9101 KANIS RD, SUITE 300, LITTLE ROCK, AR 72205-6417
(501) 801-1200
(501) 801-1207
Mailing address
9101 KANIS RD, SUITE 300, LITTLE ROCK, AR 72205-6417
(501) 801-1200
(501) 801-1207
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AR4372
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AR4372
STATE FACILITY LICENSE
AR
Enumeration date
01/18/2007
Last updated
08/22/2020
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