Individual
MR. DOUG SIMMONS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3005 S STATE ST, LITTLE ROCK, AR 72206-3071
(501) 372-2262
Mailing address
3005 S STATE ST, LITTLE ROCK, AR 72206-3071
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
906491626
AR
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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