Organization
PINNACLE NEUROSURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN SHAFIZADEH (MD PHD)
(501) 552-6400
Entity
Organization
Contact information
Practice address
17200 CHENAL PKWY STE 300, LITTLE ROCK, AR 72223-5965
(501) 552-6400
(501) 552-6413
Mailing address
17200 CHENAL PKWY STE 300, LITTLE ROCK, AR 72223-5965
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192487001
—
AR
Enumeration date
10/30/2018
Last updated
10/30/2018
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