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Organization

ARKANSAS CENTER FOR PHYSICAL MEDICINE & REHABILITATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BRANDLYN MICHELLE FRENSLEY (OFFICE MANAGER)
(501) 374-1153
Entity
Organization

Contact information

Practice address
636 W BROADWAY ST, NORTH LITTLE ROCK, AR 72114-5526
(501) 374-1153
(501) 374-6213
Mailing address
636 W BROADWAY ST, NORTH LITTLE ROCK, AR 72114-5526
(501) 374-1153
(501) 374-6213

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
992
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1093083271
DR. SETH WILSON NPI
AR
01
15723
LICENSE-DR. DAVID MORSE
AR
01
15924
DR. SETH WILSON LICENSE
AR
01
1619281185
NPI-DR MORSE
AR
01
1801872304
GROUP NPI
AR
01
350052757
RAILROAD MEDICARE
AR
01
57869
MEDICARE GROUP PIN
AR
01
59014
DR. BENNETT PIN
AR
01
5AN27
DR. SETH WILSON UPIN
AR
01
T20518
DR. BENNETT UPIN
AR
Enumeration date
12/16/2005
Last updated
01/04/2012
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