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Individual

MR. JONATHAN MORGAN ELROD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
A.T.C., E.M.T.

Contact information

Practice address
1 CHILDRENS WAY, LITTLE ROCK, AR 72202-3500
(501) 364-1601
Mailing address
1 CHILDRENS WAY, LITTLE ROCK, AR 72202-3500
(501) 364-1601

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
21470
AR
2255A2300X
Athletic Trainer
Primary
AT 387
AR

Other

Enumeration date
01/25/2012
Last updated
04/09/2014
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