Individual
DR. KEITH G. WOLTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. PH.D.
Contact information
Practice address
4301 W MARKHAM ST, #720, LITTLE ROCK, AR 72205-7101
(501) 686-8711
(501) 686-8843
Mailing address
4301 W MARKHAM ST, #720, LITTLE ROCK, AR 72205-7101
(501) 686-8711
(501) 686-8843
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
E-8278
AR
390200000X
Student in an Organized Health Care Education/Training Program
4301074217
MI
Other
Enumeration date
08/25/2008
Last updated
03/05/2014
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