Individual
DR. J. GARY WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
C-8164
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120438001
—
AR
Enumeration date
10/13/2006
Last updated
09/05/2014
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