Organization
ORTHOARKANSAS SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRETCHEN MARCHESE CPC (FINANCIAL MANAGER)
(501) 604-4150
Entity
Organization
Contact information
Practice address
10301 KANIS RD, LITTLE ROCK, AR 72205-6205
(501) 604-4150
(501) 604-4127
Mailing address
10301 KANIS RD, LITTLE ROCK, AR 72205-6205
(501) 604-4150
(501) 604-4127
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AR3758
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138737128
—
AR
Enumeration date
11/30/2005
Last updated
12/11/2013
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