Organization
MARKET PLACE MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL L. CRANFORD M.D. (PRESIDENT/OWNER)
(501) 224-0794
Entity
Organization
Contact information
Practice address
11400 HURON LN, LITTLE ROCK, AR 72211-1847
(501) 224-0794
(501) 224-2838
Mailing address
11400 HURON LN, LITTLE ROCK, AR 72211-1847
(501) 224-0794
(501) 224-2838
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MC1256
AR
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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