Organization
ARKANSAS CARDIOLOGY
Active
Organization
ARKANSAS CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MATTHEW HARDAGE (ADMINISTRATOR)
(501) 227-7596
Entity
Organization
Contact information
Practice address
9501 BAPTIST HEALTH DR, STE 600, LITTLE ROCK, AR 72205-6225
(501) 227-7596
Mailing address
PO BOX 3496, LITTLE ROCK, AR 72203
(501) 227-7596
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57017
BLUE CROSS BLUE SHIELD
AR
01
—
CC6745
RAILROAD MEDICARE
AR
01
—
CN1884
RAILLROAD MEDICARE
AR
Enumeration date
05/25/2006
Last updated
12/09/2011
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