Organization
ARKANSAS GYN ONCOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE CURTIS BANDY M.D. (DOCTOR)
(501) 221-3088
Entity
Organization
Contact information
Practice address
9601 LILE DR, SUITE 850, LITTLE ROCK, AR 72205-6321
(501) 221-3088
(501) 221-0072
Mailing address
9601 LILE DR, SUITE 850, LITTLE ROCK, AR 72205-6321
(501) 221-3088
(501) 221-0072
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02110034500
QUALCHOICE
AR
05
—
150515002
—
AR
01
—
5C905
BCBS
AR
01
—
771041202
BREAST CARE MEDICAID
AR
01
—
DA3533
RR MEDICARE
AR
Enumeration date
04/11/2007
Last updated
04/23/2008
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