Individual
DR. JOE B COLCLASURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4020 RICHARDS RD STE B, NORTH LITTLE ROCK, AR 72117-2744
(501) 975-7550
(501) 975-7553
Mailing address
10201 KANIS RD, LITTLE ROCK, AR 72205-6203
(501) 227-5050
(501) 227-5151
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
C4019
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104010001
—
AR
Enumeration date
01/17/2006
Last updated
01/10/2019
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