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Individual

CHRISTOPHER D PRINCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
6119 MIDTOWN AVE, SUITE 201, LITTLE ROCK, AR 72205-5313
(501) 664-4532
(501) 663-4335
Mailing address
6119 MIDTOWN AVE, SUITE 201, LITTLE ROCK, AR 72205-5313
(501) 664-4532
(501) 663-4335

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R069818
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
C002670
AR
367500000X
Certified Registered Nurse Anesthetist
CTP000049
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
165278001
AR
01
5A480
BCBS
AR
01
771053801
AR BREASTCARE
AR
01
P00432091
RR MEDICARE GROUP CC5970
Enumeration date
06/11/2007
Last updated
01/25/2017
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