Organization
SENIORWORKS PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MULLENAX (OWNER)
(501) 821-4300
Entity
Organization
Contact information
Practice address
110 W COLONEL GLENN RD, LITTLE ROCK, AR 72210-5848
(501) 821-4300
Mailing address
110 W COLONEL GLENN RD, LITTLE ROCK, AR 72210-5848
(501) 821-4300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004022
AR
Other
Enumeration date
01/25/2017
Last updated
03/08/2017
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