Organization
SKIN SURGERY SPECIALISTS OF ARKANSAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES KEANE M.D. (OWNER)
(678) 448-8276
Entity
Organization
Contact information
Practice address
9601 BAPTIST HEALTH DR STE 970, LITTLE ROCK, AR 72205-6331
(678) 448-8276
Mailing address
8575 BUSINESS PARK DR, SHREVEPORT, LA 71105-5655
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
E-6521
AR
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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