Individual
JAMIE BIZZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10201 KANIS RD, LITTLE ROCK, AR 72205
(501) 227-5050
Mailing address
10201 KANIS RD, LITTLE ROCK, AR 72205-6203
(501) 227-5050
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
E-11214
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2013
Last updated
05/29/2018
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