Organization
SUPHAN MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEEMA G. SUPHAN (PHYSICIAN)
(501) 225-7500
Entity
Organization
Contact information
Practice address
11811 HINSON RD STE 200, LITTLE ROCK, AR 72212-3404
(501) 225-7500
(501) 225-7510
Mailing address
11811 HINSON RD STE 200, LITTLE ROCK, AR 72212-3404
(501) 225-7500
(501) 225-7510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R-2871
AR
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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