Organization
JUBAR LLC
Active
Other names
New Balance Little Rock
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BART D DICKINSON C.PED (OWNER)
(501) 794-1356
Entity
Organization
Contact information
Practice address
13900 CANTRELL RD STE 1, LITTLE ROCK, AR 72223-1516
(501) 224-8877
(501) 794-1356
Mailing address
19718 INTERSTATE 30, BENTON, AR 72019-8023
(501) 794-1356
(501) 794-1356
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/03/2008
Last updated
11/09/2009
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