Organization
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Active
Parent organization
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Other names
Pediatrics CHMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Authorized official
AMANDA D GEORGE (ASSOCIATE VC FOR CLINICAL FINANCE)
(501) 686-6633
Entity
Organization
Contact information
Practice address
1612 MARYLAND AVE, LITTLE ROCK, AR 72202
(501) 364-1442
(501) 364-3418
Mailing address
1612 MARYLAND AVE, LITTLE ROCK, AR 72202-3536
(501) 364-1442
(501) 364-3418
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113043724
—
AR
Enumeration date
11/23/2006
Last updated
05/17/2018
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