Organization
ARKANSAS ALLERGY & ASTHMA CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM WELLS (ADMINISTRATOR)
(501) 227-5210
Entity
Organization
Contact information
Practice address
5 EXECUTIVE CENTER CT, LITTLE ROCK, AR 72211-4375
(501) 227-5210
(501) 312-1592
Mailing address
PO BOX 55090, LITTLE ROCK, AR 72215-5090
(501) 227-5210
(501) 312-1592
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104277002
—
AR
Enumeration date
03/31/2006
Last updated
03/06/2019
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