Individual
MRS. CASEY G POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9601 INTERSTATE 630, EXIT 7, LITTLE ROCK, AR 72205-7202
(501) 202-2093
(501) 202-6316
Mailing address
11001 EXECUTIVE CENTER DR, LITTLE ROCK, AR 72211-4316
(501) 202-2093
(501) 202-6316
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C003045
AR
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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