Individual
MRS. LEAH C. YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9600 BAPTIST HEALTH DR, SUITE 360, LITTLE ROCK, AR 72205-6326
(501) 227-6727
(501) 223-9462
Mailing address
9600 BAPTIST HEALTH DR, SUITE 360, LITTLE ROCK, AR 72205-6326
(501) 227-6727
(501) 223-9462
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E-4818
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06070014900
QUALCHOICE
AR
05
—
162734001
—
AR
01
—
E4818
TRICARE
AR
Enumeration date
09/22/2006
Last updated
12/20/2011
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