Individual
CARL STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6119 MIDTOWN AVE, SUITE 201, LITTLE ROCK, AR 72205-5313
(501) 664-4532
(501) 663-4335
Mailing address
6119 MIDTOWN AVE, SUITE 201, LITTLE ROCK, AR 72205-5313
(501) 664-4532
(501) 663-4335
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E0618
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100079270A
—
OK
05
—
131833001
—
AR
Enumeration date
12/05/2005
Last updated
06/18/2015
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