Organization
ARKANSAS PEDIATRIC CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA PARSONS (ADMIN)
(501) 320-4947
Entity
Organization
Contact information
Practice address
23157 I 30 STE 101, BRYANT, AR 72022-2864
(501) 664-4117
(501) 664-1137
Mailing address
16115 SAINT VINCENT WAY STE 320, LITTLE ROCK, AR 72223-3000
(501) 664-4117
(501) 664-1137
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148500002
—
AR
05
—
204313002
—
AR
05
—
213058002
—
AR
05
—
226133002
—
AR
Enumeration date
10/17/2014
Last updated
06/10/2024
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