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Organization

LITTLE ROCK FERTILITY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SARAH L HUMPHRIESH MNSC (CLINICAL ADMINISTRATOR)
(501) 801-1200
Entity
Organization

Contact information

Practice address
9101 KANIS RD, SUITE 300, LITTLE ROCK, AR 72205-6417
(501) 801-1200
(501) 801-1207
Mailing address
9101 KANIS RD, SUITE 300, LITTLE ROCK, AR 72205-6417
(501) 801-1200
(501) 801-1207

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AR4372
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AR4372
STATE FACILITY LICENSE
AR
Enumeration date
01/18/2007
Last updated
08/22/2020
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