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Organization
LITTLE ROCK DIAGNOSTIC CLINIC PA
Active
Organization
LITTLE ROCK DIAGNOSTIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA JACKSON (QUALITY MANAGER)
(501) 227-8000
Entity
Organization
Contact information
Practice address
10001 LILE DR, LITTLE ROCK, AR 72205-6217
(501) 227-8000
(501) 221-5895
Mailing address
10001 LILE DR, LITTLE ROCK, AR 72205-6217
(501) 227-8000
(501) 221-5895
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/30/2006
Last updated
11/08/2017
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