Individual
JAMES DAVID MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2601 GENE GEORGE BLVD, SPRINGDALE, AR 72762-0845
(479) 725-6880
(479) 725-6582
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(504) 364-4082
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C002867
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609167030
—
MO
05
—
188083001
—
AR
05
—
200349850A
—
OK
01
—
P01158970
RR
AR
Enumeration date
04/19/2011
Last updated
10/05/2018
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