Individual
DR. MICHAEL EDWARD COLTRAIN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-1000
Mailing address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-12297
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214179795
—
AR
Enumeration date
04/07/2016
Last updated
05/20/2019
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