Individual
RUSTY MEEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12800 CHENAL PKWY STE 7, LITTLE ROCK, AR 72211-3306
(501) 221-6783
Mailing address
12800 CHENAL PKWY STE 7, LITTLE ROCK, AR 72211-3306
(501) 221-6783
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
A352
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46-4182724
—
AR
Enumeration date
11/02/2015
Last updated
11/02/2015
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