Individual
CARRIE BROWN BORENGASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
10101 MABELVALE PLAZA DR, #3, LITTLE ROCK, AR 72209-5927
(501) 568-7868
(501) 568-3035
Mailing address
10101 MABELVALE PLAZA DR, #3, LITTLE ROCK, AR 72209-5927
(501) 568-7868
(501) 568-3035
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-373
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P-T0919
LICENSE
AR
Enumeration date
09/02/2009
Last updated
08/08/2013
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