Organization
BREAST HEALTH CLINICS OF ARKANSAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRI S FANT MD (OWNER)
(501) 955-9466
Entity
Organization
Contact information
Practice address
3401 SPRINGHILL DR, STE 470, NORTH LITTLE ROCK, AR 72117-2924
(501) 955-9466
(501) 955-0339
Mailing address
PO BOX 7386, LITTLE ROCK, AR 72217-7386
(501) 993-8324
(501) 955-0339
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2005
Last updated
08/22/2020
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