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Organization

ST. VINCENT MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMIE DENNIS (DIRECTOR)
(501) 224-1690
Entity
Organization

Contact information

Practice address
2 ST. VINCENT CIRCLE, LITTLE ROCK, AR 72205-2936
(501) 552-3571
(501) 224-1927
Mailing address
5125 NORTHSHORE DR, NORTH LITTLE ROCK, AR 72118-5315
(501) 224-1690
(501) 224-1927

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207RG0100X
Gastroenterology Physician
207RH0003X
Hematology & Oncology Physician
207RP1001X
Pulmonary Disease Physician
207T00000X
Neurological Surgery Physician
208000000X
Pediatrics Physician
2080P0207X
Pediatric Hematology & Oncology Physician
208100000X
Physical Medicine & Rehabilitation Physician
2084N0400X
Neurology Physician
2084P0800X
Psychiatry Physician
208600000X
Surgery Physician
213EP1101X
Primary Podiatric Medicine Podiatrist
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
138898002
AR
Enumeration date
05/30/2006
Last updated
04/24/2025
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