Individual
BRIAN L REEMTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
A62822
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
E-10803
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A628220
BLUE SHIELD PROV. NUMBER
CA
05
—
00A628220
—
CA
Enumeration date
07/05/2006
Last updated
11/01/2017
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