Individual
DR. SUE A ULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10001 LILE DR, LITTLE ROCK, AR 72205-6217
(601) 227-8000
(501) 604-8727
Mailing address
10001 LILE DR, LITTLE ROCK, AR 72205-6217
(601) 227-8000
(501) 604-8727
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C-7984
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123633001
—
AR
01
—
5J177
MEDICARE
AR
Enumeration date
12/05/2006
Last updated
04/16/2018
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