Individual
MR. PHILIP ALLEN CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1300 CENTERVIEW DR, LITTLE ROCK, AR 72211-4349
(501) 219-8900
(501) 410-1145
Mailing address
1300 CENTERVIEW DR, LITTLE ROCK, AR 72211-4349
(501) 219-8900
(501) 410-1145
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PI2017-049
AR
Other
Enumeration date
10/17/2017
Last updated
09/17/2024
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