Organization
PLEASANT VALLEY FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARITY S DULIN (OFFICE MANAGER)
(501) 224-2875
Entity
Organization
Contact information
Practice address
11719 HINSON RD, SUITE 110, LITTLE ROCK, AR 72212
(501) 224-2875
(501) 224-6357
Mailing address
11719 HINSON RD, SUITE 110, LITTLE ROCK, AR 72212
(501) 224-2875
(501) 224-6357
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E1810
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1350103001
—
AR
Enumeration date
03/28/2006
Last updated
08/22/2020
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