Individual
DR. JOHN GARY THARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 ALDERSGATE RD, LITTLE ROCK, AR 72205-6611
(501) 228-9393
(501) 228-6019
Mailing address
1501 ALDERSGATE RD, LITTLE ROCK, AR 72205-6611
(501) 228-9393
(501) 228-6019
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C8184
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124952001
—
AR
Enumeration date
03/28/2006
Last updated
07/08/2007
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