Individual
DR. MARCUS D O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 CHILDRENS WAY #653, LITTLE ROCK, AR 72202
(501) 364-1100
(501) 364-2963
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-2963
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C-6643
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113022001
—
AR
01
—
13317000000
QUALCHOICE
—
01
—
51068
BLUECROSS BLUESHIELD
AR
01
—
536103YJBY
MEDICARE
AR
Enumeration date
08/01/2006
Last updated
05/30/2018
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