Organization
JOE B. PEVAHOUSE M.D. P.A
Active
Other names
Renal Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE B PEVAHOUSE M.D. (OWNER)
(501) 224-2141
Entity
Organization
Contact information
Practice address
9601 LILE DR STE 350, LITTLE ROCK, AR 72205-6356
(501) 224-2141
Mailing address
9601 LILE DR STE 350, LITTLE ROCK, AR 72205-6356
(501) 224-2141
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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