Organization
SMA MEDICINE & NEPHROLOGY CLINIC LLC
Active
Organization
SMA MEDICINE & NEPHROLOGY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSES C EJIOFOR M.D. (PRESIDENT)
(501) 603-9277
Entity
Organization
Contact information
Practice address
1515 KANIS PARK DR STE B, LITTLE ROCK, AR 72205-4569
(501) 603-9277
(501) 603-9877
Mailing address
1515 KANIS PARK DR STE B, LITTLE ROCK, AR 72205-4569
(501) 603-9277
(501) 603-9877
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
AR
Other
Enumeration date
01/11/2007
Last updated
11/30/2017
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