# AVALON PRIMARY CARE CLINIC, LLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851050603
- **Authorized official:** LAURA SANCHEZ (CLINIC ADMINISTRATOR)
- **Authorized official phone:** (150) 122-7802

## Contact information

- **Practice address:** 1024 SCOTT ST, LITTLE ROCK, AR 72202-3824
- **Practice address phone:** (501) 375-3326
- **Mailing address:** 11912 KANIS RD STE F2, LITTLE ROCK, AR 72211-3771
- **Mailing address phone:** (501) 227-8020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 12/09/2021
- **Last updated:** 12/09/2021