Organization
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Active
Parent organization
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Other names
12th Street Health and Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Authorized official
SUSAN D MOORE (MANAGER)
(501) 614-2006
Entity
Organization
Contact information
Practice address
4010 W 12TH ST, LITTLE ROCK, AR 72204-2047
(501) 614-2492
(501) 614-2495
Mailing address
4010 W 12TH ST, LITTLE ROCK, AR 72204-2047
(501) 614-2492
(501) 614-2495
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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