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Individual

DR. TAMMY LEA VANOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
500 S UNIVERSITY AVE, STE A13, LITTLE ROCK, AR 72205-5342
(501) 664-0337
(501) 664-8191
Mailing address
500 S UNIVERSITY AVE, STE A13, LITTLE ROCK, AR 72205-5344
(501) 664-0337
(501) 664-8191

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A106
AR
231H00000X
Audiologist
Primary
A106
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
131463720
AR
01
5T556
BCBC/MEDICARE PROVIDER #
AR
Enumeration date
05/31/2005
Last updated
07/27/2026
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