Organization
CENTRAL ARKANSAS PEDIATRICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY A CRAIG M.D. (PHYSICIAN)
(501) 328-0055
Entity
Organization
Contact information
Practice address
3010 FOUNTAIN DRIVE, CONWAY, AR 72034-3684
(501) 328-0055
(501) 328-2194
Mailing address
3010 FOUNTAIN DRIVE, CONWAY, AR 72034-3684
(501) 328-0055
(501) 328-2194
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MC-1956
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139031002
—
AR
01
—
5C289
BLUE CROSS ID
AR
Enumeration date
03/29/2006
Last updated
10/14/2016
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