Individual
DR. WILLIAM WELLS BURNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-1000
(501) 257-5071
Mailing address
2900 N GRANT ST, LITTLE ROCK, AR 72207-2807
(501) 416-5496
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
N5526
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033125943
—
AR
Enumeration date
07/31/2006
Last updated
04/14/2020
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