Organization
PREMIER GASTROENTEROLOGY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERENCE LOAGAN ANGTUACO MD (PRESIDENT)
(501) 747-2828
Entity
Organization
Contact information
Practice address
10915 N. RODNEY PARHAM, SUITE B, LITTLE ROCK, AR 72212
(501) 747-2828
Mailing address
PO BOX 26618, LITTLE ROCK, AR 72221-6601
(501) 747-2828
(501) 747-2868
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228961002
—
AR
Enumeration date
03/21/2018
Last updated
07/28/2022
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