Organization
ID OF CENTRAL ARKANSAS, PLLC
Active
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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