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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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