Individual
ELIZABETH CATHERINE SPECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3760 IRBY DR, CONWAY, AR 72034-3381
(501) 733-6985
Mailing address
3760 IRBY DR, CONWAY, AR 72034-3381
(501) 733-6985
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2020022071
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/14/2019
Last updated
02/24/2021
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