Organization
CAVC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN M SUTTON (ADMINISTRATOR)
(501) 663-0490
Entity
Organization
Contact information
Practice address
11771 MAUMELLE BLVD, NORTH LITTLE ROCK, AR 72113-6558
(501) 321-9803
(501) 321-0710
Mailing address
PO BOX 17930, LITTLE ROCK, AR 72222-7930
(501) 663-0490
(501) 663-2619
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2015
Last updated
01/12/2018
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