Individual
MERYLL ELLEN PAMPOLINA BOULDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4301 WEST MARKHAM, SLOT 584, LITTLE ROCK, AR 72205-7199
(501) 526-2085
(501) 320-7068
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-11841
AR
Other
Enumeration date
03/23/2016
Last updated
09/08/2022
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