Organization
EVERGREEN INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A HENRY M.D. (MANAGING MEMBER)
(501) 664-1540
Entity
Organization
Contact information
Practice address
1100 N UNIVERSITY AVE, SUITE 125, LITTLE ROCK, AR 72207-6343
(501) 664-1540
Mailing address
1100 N UNIVERSITY AVE, SUITE 125, LITTLE ROCK, AR 72207-6343
(501) 664-1540
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
10/21/2009
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