Individual
DR. SUSAN ELAINE HARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7199
(501) 686-8000
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
E-13206
AR
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
Primary
E-13206
AR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
E-13206
AR
390200000X
Student in an Organized Health Care Education/Training Program
66179
MN
Other
Enumeration date
06/21/2007
Last updated
07/28/2020
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