Individual
PHILLIP R ALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3343 SPRINGHILL DR, STE 1005, NORTH LITTLE ROCK, AR 72117-2930
(501) 758-9251
(501) 758-0308
Mailing address
3343 SPRINGHILL DR, STE 1005, NORTH LITTLE ROCK, AR 72117-2930
(501) 758-9251
(501) 758-0308
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C5643
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105215001
—
AR
01
—
160002855
RAILROAD MEDICARE
AR
Enumeration date
07/07/2005
Last updated
08/11/2010
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