Organization
CENTRAL ARKANSAS VASCULAR ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT LANE ALBERTY M.D. (OWNER/SURGEON)
(501) 219-1970
Entity
Organization
Contact information
Practice address
9601 LILE DR, 700 MEDICAL TOWERS BUILDING I, LITTLE ROCK, AR 72205-6321
(501) 219-1970
(501) 219-1944
Mailing address
9601 LILE DR, 700 MEDICAL TOWERS BUILDING I, LITTLE ROCK, AR 72205-6321
(501) 219-1970
(501) 219-1944
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
E-5295
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO9632
RAILROAD MEDICARE
AR
Enumeration date
01/08/2009
Last updated
08/17/2009
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