Organization
ST VINCENT BREAST CANCER & MAMMOGRAPHY SCREENING CENTER LLC
Active
Other names
St Vincent Breast Cancer
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEROME J GEHL MD (MEDICAL DIRECTOR)
(501) 686-2614
Entity
Organization
Contact information
Practice address
500 S UNIVERSITY AVE, SUITE 114, LITTLE ROCK, AR 72205-5302
(501) 661-9766
(501) 975-4666
Mailing address
500 S UNIVERSITY AVE, SUITE 114, LITTLE ROCK, AR 72205-5302
(501) 661-9766
(501) 975-4666
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2005
Last updated
08/22/2020
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