Organization
BAKER AMBULATORY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LITTLETON BAKER JR. MD (OWNER/ OPHTHALMOLOGIST)
(501) 329-3937
Entity
Organization
Contact information
Practice address
810 MERRIMAN ST, CONWAY, AR 72032-4436
(501) 329-3937
(501) 730-0466
Mailing address
810 MERRIMAN ST, CONWAY, AR 72032-4436
(501) 329-3937
(501) 932-7663
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AR3919
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142854128
—
AR
Enumeration date
10/26/2005
Last updated
10/05/2011
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