Individual
EDWARD E ANGTUACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 S UNIVERSITY AVE STE 101, LITTLE ROCK, AR 72205
(501) 664-3914
(501) 664-5246
Mailing address
500 S UNIVERSITY AVE STE 600, LITTLE ROCK, AR 72205-5324
(501) 664-3914
(501) 664-5246
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
E-0419
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127862001
—
AR
Enumeration date
05/22/2006
Last updated
07/17/2018
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