Organization
ARKANSAS OCULOPLASTIC SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO ANN MCCORMACK (BILLING COORDINATOR)
(501) 223-2244
Entity
Organization
Contact information
Practice address
9800 BAPTIST HEALTH DR STE 500, LITTLE ROCK, AR 72205-6243
(501) 223-2244
(501) 223-2231
Mailing address
9800 BAPTIST HEALTH DR STE 500, LITTLE ROCK, AR 72205-6243
(501) 223-2244
(501) 223-2231
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160405002
—
AR
Enumeration date
08/23/2006
Last updated
12/13/2017
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