Organization
LITTLE ROCK CARDIOLOGY CLINIC, PA
Active
Organization
LITTLE ROCK CARDIOLOGY CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY J MIDDLETON (ASSISTANT EXECUTIVE DIRECTOR)
(501) 664-5860
Entity
Organization
Contact information
Practice address
7 SHACKLEFORD WEST BLVD, LITTLE ROCK, AR 72211-3714
(501) 664-5860
(501) 663-5017
Mailing address
7 SHACKLEFORD WEST BLVD, LITTLE ROCK, AR 72211-3714
(501) 664-5860
(501) 663-5017
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MC-0341
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104523002
—
AR
Enumeration date
06/07/2006
Last updated
08/28/2009
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