Organization
ARKANSAS SURGICAL HOSPITAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER BRIAN FOWLER (CEO)
(501) 748-8089
Entity
Organization
Contact information
Practice address
605 DAVE WARD DR STE 104, CONWAY, AR 72034-7138
(501) 663-6455
Mailing address
5201 NORTHSHORE DR, NORTH LITTLE ROCK, AR 72118-5312
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/05/2018
Last updated
09/14/2023
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