Individual
DR. ANTHONY L CAPOCELLI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 604-6900
(501) 604-6941
Mailing address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 604-6900
(501) 604-4167
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
E2162
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100007120A
OKLAHOMA MEDICAID
OK
05
—
136639001
—
AR
01
—
140007749
RAILROAD MEDICARE
AR
01
—
18474000000
UNITED HEALTHCARE
AR
01
—
5L165
ARKANSAS BLUE CROSS
AR
01
—
962562
USA MCO
AR
Enumeration date
03/10/2006
Last updated
01/11/2019
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