Individual
BEN D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 S UNIVERSITY, SUITE 415, LITTLE ROCK, AR 72205
(501) 664-9535
(501) 664-1147
Mailing address
500 S UNIVERSITY, SUITE 415, LITTLE ROCK, AR 72205
(501) 664-9535
(501) 664-1147
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R2466
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104628001
—
AR
Enumeration date
02/14/2006
Last updated
06/14/2010
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