Individual
AUDIE RAY ADERHOLT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(662) 902-9309
Mailing address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(662) 902-9309
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-10611
AR
Other
Enumeration date
04/15/2014
Last updated
10/04/2019
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