Individual
DR. NICOLE A MASSOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4301 W MARKHAM ST # 517, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Mailing address
4301 W MARKHAM ST # 517, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
E-2708
AR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME86168
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266133100
—
FL
Enumeration date
08/16/2006
Last updated
06/16/2021
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