Organization
ARKANSAS EPILEPSY PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA SCHWERMAN (SENIOR ACCOUNTS REP)
(501) 227-0705
Entity
Organization
Contact information
Practice address
2 LILE CT, S-100, LITTLE ROCK, AR 72205-6221
(501) 227-5061
(501) 227-5234
Mailing address
2 LILE CT STE 100, LITTLE ROCK, AR 72205-6241
(501) 227-5061
(501) 227-5234
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
R-4085
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070749035
HEALTHLINK
AR
01
—
116520000
QUAL-CHOICE
AR
05
—
125749002
—
AR
Enumeration date
08/01/2006
Last updated
05/23/2008
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