Organization
LITTLE ROCK DERMATOLOGY CLINIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARION NIXON (OFFICE MANAGER)
(501) 664-4161
Entity
Organization
Contact information
Practice address
500 S UNIVERSITY AVE, 301, LITTLE ROCK, AR 72205-5302
(501) 664-4161
(501) 664-6108
Mailing address
500 S UNIVERSITY AVE, 301, LITTLE ROCK, AR 72205-5302
(501) 664-4161
(501) 664-6108
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5C206
AR
Other
Enumeration date
12/01/2006
Last updated
08/31/2011
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