Organization
PEDIATRIC PHYSICIANS GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY D JOHNSON MD (MBR)
(501) 664-4117
Entity
Organization
Contact information
Practice address
500 S UNIVERSITY AVE, SUITE 200, LITTLE ROCK, AR 72205-5302
(501) 664-4117
(501) 664-1137
Mailing address
500 S UNIVERSITY AVE, SUITE 200, LITTLE ROCK, AR 72205-5302
(501) 664-4117
(501) 664-1137
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
AR
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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