Individual
DR. ROGER AMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 EXECUTIVE CENTER CT, LITTLE ROCK, AR 72211-4487
(501) 448-0060
(501) 448-0066
Mailing address
4 EXECUTIVE CENTER CT, LITTLE ROCK, AR 72211-4487
(501) 448-0060
(501) 448-0066
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
N-8191
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55845
MEDICARE
AR
01
—
P00411837
MEDICARE RAILROAD
AR
Enumeration date
08/02/2006
Last updated
03/18/2013
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