Organization
ARKANSAS HEALTH GROUP
Active
Other names
Baptist Health Neurosurgery
Organization subpart
No
Provider details
NPI number
Authorized official
INGRID J BLAKE (CLINICAL SUPERVISOR)
(501) 945-0246
Entity
Organization
Contact information
Practice address
3343 SPRINGHILL DR STE 2050, NORTH LITTLE ROCK, AR 72117-2946
(501) 945-0246
(501) 945-0216
Mailing address
3343 SPRINGHILL DR STE 2050, NORTH LITTLE ROCK, AR 72117-2946
(501) 945-0246
(501) 945-0216
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E3782
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158494002
—
AR
Enumeration date
10/04/2006
Last updated
05/23/2008
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