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Organization
ARKANSAS ASTHMA AND LUNG, INC LLC
Active
Organization
ARKANSAS ASTHMA AND LUNG, INC LLC
Active
Other names
Arkansas Comprensive Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DIAZ (CEO)
(501) 565-5701
Entity
Organization
Contact information
Practice address
8625 W MARKHAM ST, SUITE C, LITTLE ROCK, AR 72205-2312
(501) 223-3889
Mailing address
4 BARBER CT, MAUMELLE, AR 72113-6491
(501) 565-5701
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176713742
—
AR
Enumeration date
06/18/2010
Last updated
06/18/2010
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