Individual
REBECCA TICKER PERIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-4361
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-4361
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E 9147
AR
Other
Enumeration date
04/10/2012
Last updated
10/07/2015
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