Individual
DR. ROBERT LEO GARRISON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10301 KANIS RD, LITTLE ROCK, AR 72205-6205
(501) 604-6900
(501) 604-3220
Mailing address
10301 KANIS RD, LITTLE ROCK, AR 72205-6205
(501) 604-6900
(501) 604-3220
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
26719
OK
207X00000X
Orthopaedic Surgery Physician
Primary
E-4593
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158707001
—
AR
01
—
P00256786
PALMETTO MEDICARE RAILROAD
AR
Enumeration date
03/23/2006
Last updated
02/24/2011
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