Organization
PLASTIC SURGERY INSTITUTE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD J LOVE MD (PHYSICIAN)
(501) 224-1859
Entity
Organization
Contact information
Practice address
1 LILE CT STE 100, LITTLE ROCK, AR 72205-6239
(501) 224-1859
(501) 975-2242
Mailing address
1 LILE CT STE 100, LITTLE ROCK, AR 72205-6239
(501) 224-1859
(501) 975-2242
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E2504
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140138001
—
AR
01
—
5G129
MEDICARE PTAN
AR
Enumeration date
01/19/2007
Last updated
03/05/2009
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