Organization
PLASTIC AND RECONSTRUCTIVE SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARITA MADDEN (BILLER)
(501) 663-4100
Entity
Organization
Contact information
Practice address
11300 N RODNEY PARHAM RD, SUITE 210, LITTLE ROCK, AR 72212-4153
(501) 663-4100
(501) 663-4145
Mailing address
11300 N RODNEY PARHAM RD, SUITE 210, LITTLE ROCK, AR 72212-4153
(501) 663-4100
(501) 663-4145
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104999002
—
AR
Enumeration date
08/04/2005
Last updated
07/13/2010
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