Individual
JOHN TYLER BABER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 N UNIVERSITY AVE, LITTLE ROCK, AR 72205-3108
(501) 666-0249
(501) 666-4340
Mailing address
415 N UNIVERSITY AVE, LITTLE ROCK, AR 72205-3108
(501) 666-0249
(501) 666-4340
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
C4911
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100114958
RAILROAD MEDICARE
AR
01
—
15139000000
QUALCHOICE
AR
01
—
2920017
UNITED HEALTH
AR
01
—
4203424
AETNA
AR
Enumeration date
10/05/2005
Last updated
10/03/2024
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