Organization
PHILANDER SMITH UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVETA CROUTHER RN (CLINICAL DIRECTOR)
(501) 370-5333
Entity
Organization
Contact information
Practice address
900 W DAISY L GATSON BATES DR, LITTLE ROCK, AR 72202-3726
(501) 370-5333
Mailing address
900 W DAISY L GATSON BATES DR, LITTLE ROCK, AR 72202-3726
(501) 370-5333
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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