Individual
MICHAEL CONRAD DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11321 INTERSTATE 30 STE 304, LITTLE ROCK, AR 72209-7067
(501) 487-6010
(501) 202-7513
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(501) 812-7215
(501) 202-7006
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E-10636
AR
Other
Enumeration date
04/08/2013
Last updated
07/20/2021
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