Organization
PELLEGRINO CENTER FOR CLINICAL NEUROSCIENCE
Active
Other names
P.C.C.N.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD G PELLEGRINO M.D.,PH.D (PRESIDENT)
(501) 623-0280
Entity
Organization
Contact information
Practice address
1 MERCY LN, SUITE 505, HOT SPRINGS, AR 71913-6442
(501) 623-0280
(501) 623-2405
Mailing address
1 MERCY LN, SUITE 505, HOT SPRINGS, AR 71913-6442
(501) 623-0280
(501) 623-2405
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
N7649
AR
Other
Enumeration date
04/28/2006
Last updated
10/31/2007
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