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Organization

UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES

Active
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Organization

UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES

Active
Parent organization
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Other names
12th Street Health and Wellness Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Authorized official
SUSAN D MOORE (MANAGER)
(501) 614-2006
Entity
Organization

Contact information

Practice address
4010 W 12TH ST, LITTLE ROCK, AR 72204-2047
(501) 614-2492
(501) 614-2495
Mailing address
4010 W 12TH ST, LITTLE ROCK, AR 72204-2047
(501) 614-2492
(501) 614-2495

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL

Other

Enumeration date
10/20/2022
Last updated
10/20/2022
About Stedi
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