Individual
DR. CHARLES E PEARCE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 S MCKINLEY ST, LITTLE ROCK, AR 72205-5202
(501) 663-3647
(501) 666-9653
Mailing address
600 S MCKINLEY ST, LITTLE ROCK, AR 72205-5202
(501) 663-3647
(501) 666-9653
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
C-6462
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114549001
—
AR
01
—
51863C207
MEDICARE PTAN
AR
Enumeration date
01/06/2006
Last updated
06/18/2014
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