Organization
JAMES D STUDDARD, MD, P.A.
Active
Other names
Little Rock Gynecology Clinic, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES D STUDDARD M.D. (OWNER)
(501) 225-9905
Entity
Organization
Contact information
Practice address
904 AUTUMN RD STE 500, LITTLE ROCK, AR 72211-3738
(501) 225-9905
Mailing address
904 AUTUMN RD STE 500, LITTLE ROCK, AR 72211-3738
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
C4534
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11579002
—
AR
01
—
160005900
RR MEDICARE
AR
Enumeration date
11/28/2006
Last updated
07/09/2008
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