Organization
PULTRO AND PALMER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY MARIE VAN ES AU.D. (AUDIOLOGIST)
(501) 626-9606
Entity
Organization
Contact information
Practice address
500 S UNIVERSITY AVE, SUITE 405, LITTLE ROCK, AR 72205-5302
(501) 664-5511
(501) 664-5149
Mailing address
13815 HAROLD DR, ALEXANDER, AR 72002-7293
(501) 407-0003
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A#270
AR
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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