Organization
ARKANSAS BREAST SURGERY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONYA MARTIN-DUNLAP M.D. (OWNER)
(716) 207-9500
Entity
Organization
Contact information
Practice address
500 S UNIVERSITY AVE, SUITE 219, LITTLE ROCK, AR 72205-5302
(716) 207-9500
Mailing address
7112 ROCKWOOD RD, LITTLE ROCK, AR 72207-1708
(716) 207-9500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E-7623
AR
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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