Individual
DR. PHILIP LEWIS MIZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9601 LILE DR, SUITE 1050, LITTLE ROCK, AR 72205-6321
(501) 228-7400
(501) 537-7412
Mailing address
9601 LILE DR, SUITE 1050, LITTLE ROCK, AR 72205-6321
(501) 228-7400
(501) 537-7412
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C5429
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105083001
—
AR
Enumeration date
07/12/2006
Last updated
05/09/2011
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