Individual
MARYELLE GEORGETTE VONLANTHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1515 S BOWMAN RD, SUITE B, LITTLE ROCK, AR 72211-4207
(501) 228-7171
(501) 228-5462
Mailing address
1515 S BOWMAN RD, SUITE B, LITTLE ROCK, AR 72211-4207
(501) 228-7171
(501) 228-5462
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C8512
AR
208000000X
Pediatrics Physician
G9896
TX
2080P0206X
Pediatric Gastroenterology Physician
Primary
C8512
AR
2080P0206X
Pediatric Gastroenterology Physician
G9896
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C8512
STATE LICENSE
AR
01
—
G9896
STATE LICENSE
TX
Enumeration date
01/25/2006
Last updated
07/10/2007
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