Organization
ARKANSAS PEDIATRIC CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA PARSONS (ADMIN)
(501) 664-4117
Entity
Organization
Contact information
Practice address
1412 WOODLAND DR, BRYANT, AR 72022-3050
(501) 664-4117
(501) 664-1137
Mailing address
500 S UNIVERSITY AVE, SUITE 200, LITTLE ROCK, AR 72205-5302
(501) 664-4117
(501) 664-1137
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213058002
—
AR
Enumeration date
02/15/2016
Last updated
05/18/2021
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