Organization
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Active
Parent organization
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Other names
FGP Managed Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Authorized official
AMANDA D GEORGE (ASSOCIATE VC FOR CLINICAL FINANCE)
(501) 686-6633
Entity
Organization
Contact information
Practice address
4301 W MARKHAM ST # 528, LITTLE ROCK, AR 72205-7101
(501) 614-2006
(501) 625-6562
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 614-2006
(501) 625-6562
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185250002
—
AR
Enumeration date
12/13/2010
Last updated
06/20/2019
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