Organization
ARKMED HEALTHCARE ASSOCIATES, PLLC
Active
Other names
Brock Wrinkles, PA-C
Organization subpart
No
Provider details
NPI number
Authorized official
BROCK HARRISON WRINKLES PA-C (CEO)
(501) 599-8400
Entity
Organization
Contact information
Practice address
1801 CENTRAL AVE STE A, HOT SPRINGS, AR 71901-6800
(501) 623-5598
(501) 623-5516
Mailing address
PO BOX 3751, LITTLE ROCK, AR 72203-3751
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1139067
NCCPA
—
05
—
220675795
—
AR
01
—
PA-720
ARKANSAS STATE MEDICAL BOARD
AR
Enumeration date
08/13/2019
Last updated
03/21/2023
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