Organization
ID OF CENTRAL ARKANSAS, PLLC
Active
Other names
ID Arkansas, Infectious Diseases Arkansas
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA J NOVACK MD (PRESIDENT)
(501) 503-3000
Entity
Organization
Contact information
Practice address
3500 SPRINGHILL DR STE 200B, NORTH LITTLE ROCK, AR 72117
(501) 503-3000
(501) 503-0466
Mailing address
3500 SPRINGHILL DR STE 200B, NORTH LITTLE ROCK, AR 72117-2948
(501) 503-3000
(501) 503-0466
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
08/14/2018
Last updated
08/20/2018
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