Individual
DR. JOHN ROBERT PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 SAINT VINCENT CIR, LITTLE ROCK, AR 72205-5423
(501) 552-3000
(214) 712-2487
Mailing address
1716 BEECHWOOD ST, LITTLE ROCK, AR 72207-5432
(501) 265-0035
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-0769
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129935001
—
AR
01
—
5K235
BLUE CROSS
AR
01
—
930055436
RAILROAD MEDICARE
AR
Enumeration date
09/15/2006
Last updated
11/17/2009
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