Individual
DR. MICHEAL LEE SELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 S UNIVERSITY AVE, SUITE 212, LITTLE ROCK, AR 72205-5302
(501) 664-8003
(501) 663-3649
Mailing address
500 S UNIVERSITY AVE, SUITE 212, LITTLE ROCK, AR 72205-5302
(501) 664-8003
(501) 663-3649
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C4859
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104707001
—
AR
Enumeration date
09/07/2006
Last updated
12/01/2010
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