Individual
DR. RYAN SCOTT WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS WAY # 512-19A, LITTLE ROCK, AR 72202-3500
(501) 364-2833
(501) 364-2880
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-4082
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E-15601
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2019
Last updated
12/21/2022
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