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Organization
DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF HEALTH
Active
Organization
DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE MICHAEL RNP (RNP II)
(501) 772-7875
Entity
Organization
Contact information
Practice address
5800 W 10TH ST, LITTLE ROCK, AR 72204-1752
(501) 280-4940
Mailing address
3108 TANNER TRL, LITTLE ROCK, AR 72210-1539
(501) 772-7875
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
P00723
AR
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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