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Organization

LITTLE ROCK PROSTHETICS INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAN M CROWDER C.P. (OWNER)
(501) 664-2345
Entity
Organization

Contact information

Practice address
424 N UNIVERSITY AVE STE 1, LITTLE ROCK, AR 72205-3266
(501) 664-2345
(501) 664-4663
Mailing address
424 N UNIVERSITY AVE STE 1, LITTLE ROCK, AR 72205-3266
(501) 664-2345
(501) 664-4663

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119426716
AR
Enumeration date
08/18/2006
Last updated
08/12/2008
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