Individual
SUSAN EBEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4202 S UNIVERSITY AVE, LITTLE ROCK, AR 72204-7841
(501) 562-4838
(501) 562-1958
Mailing address
4202 S UNIVERSITY AVE, LITTLE ROCK, AR 72204-7841
(501) 562-4838
(501) 562-1958
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C-6597
AR
207Q00000X
Family Medicine Physician
C-6597
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120373
UNITED HEALTH CARE
AR
01
—
15320000000
QUALCHOICE
AR
01
—
50834
AR BLUE CROSS BLUE SHIELD
AR
Enumeration date
11/16/2005
Last updated
09/11/2025
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