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Individual

CLINTON EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9601 INTERSTATE 630 EXIT 7, LITTLE ROCK, AR 72205-7202
(501) 202-0000
Mailing address
11001 EXECUTIVE CENTER DR, STE. 200, LITTLE ROCK, AR 72211-4316
(501) 812-7589

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E3894
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
152141001
AR
Enumeration date
10/04/2006
Last updated
05/19/2008
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