Organization
THE SURGERY CENTER, LLC
Active
Other names
The Surgical Pavilion, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA HOOPER (ADMINISTRATOR)
(501) 227-9088
Entity
Organization
Contact information
Practice address
9500 KANIS RD, SUITE 401, LITTLE ROCK, AR 72205-6324
(501) 227-9088
(501) 219-3630
Mailing address
9500 KANIS RD, SUITE 401, LITTLE ROCK, AR 72205-6324
(501) 227-9088
(501) 219-3630
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AR3653
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136078128
—
AR
Enumeration date
04/27/2006
Last updated
02/22/2010
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