Individual
DR. RICHARD CLARK FLANIGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 EXECUTIVE CENTER CT, LITTLE ROCK, AR 72211-4487
(501) 448-0060
Mailing address
9817 JOHNSON RD, MABELVALE, AR 72103-2701
(501) 455-6397
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C-8254
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134201001
—
AR
01
—
5J247
AR BCBS
AR
Enumeration date
09/06/2006
Last updated
09/17/2014
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