Organization
ARKANSAS WOMEN'S CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN C HILTERBRAND (OFFICE MANAGER)
(501) 224-6699
Entity
Organization
Contact information
Practice address
9500 KANIS RD, SUITE 200, LITTLE ROCK, AR 72205-6324
(501) 224-6699
(501) 224-7752
Mailing address
9500 KANIS RD, SUITE 200, LITTLE ROCK, AR 72205-6324
(501) 224-6699
(501) 224-7752
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120143002
—
AR
01
—
862496
UNITED HEALTHCARE
AR
01
—
CS7577
RAILROAD MEDICARE
AR
Enumeration date
02/08/2006
Last updated
06/25/2014
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