Organization
ARKANSAS OTOLARYNGOLOGY CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELAINE MARTIN (OFFICE MANAGER)
(501) 227-5050
Entity
Organization
Contact information
Practice address
10201 KANIS RD, LITTLE ROCK, AR 72205-6203
(501) 227-5050
(501) 227-5151
Mailing address
10201 KANIS RD, LITTLE ROCK, AR 72205-6203
(501) 227-5050
(501) 227-5151
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MC0139
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104327002
—
AR
Enumeration date
07/15/2006
Last updated
05/08/2012
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