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Individual

BROOKE CONTOIS WALLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
9601 BAPTIST HEALTH DR STE 860, LITTLE ROCK, AR 72205-6375
(501) 975-7455
(501) 975-3631
Mailing address
4261 STOCKTON DRIVE SUITE LL100, NORTH LITTLE ROCK, AR 72117
(501) 975-7456
(501) 978-1822

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
237568795
AR
Enumeration date
10/03/2019
Last updated
07/05/2022
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