Individual
DR. ROBERT M JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 EXECUTIVE CENTER CT, LITTLE ROCK, AR 72211-4487
(501) 448-0060
(501) 448-0060
Mailing address
4 EXECUTIVE CENTER COURT, LITTLE ROCK, AR 72223-9187
(501) 448-0060
(501) 448-0060
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E-3116
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04070014400
QUALCHOICE
AR
05
—
145837001
—
AR
01
—
159635526
ADDITIONAL MEDICAID
AR
01
—
5M121
BCBS
AR
01
—
5M1216738
MEDICARE
AR
01
—
E3116
TRICARE
AR
01
—
P00195423
RAILROAD MEDICARE
AR
Enumeration date
10/03/2006
Last updated
03/22/2013
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