Individual
JEREMY ALAN WARFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10700 N RODNEY PARHAM RD STE C10, LITTLE ROCK, AR 72212-4110
(501) 246-7274
Mailing address
10700 N RODNEY PARHAM RD STE C10, LITTLE ROCK, AR 72212-4110
(501) 246-7274
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E4220
AR
207Q00000X
Family Medicine Physician
E-4220
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155787001
—
AR
Enumeration date
04/10/2006
Last updated
10/05/2012
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