Individual
PETER SIDAROUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11521 W MARKHAM ST, LITTLE ROCK, AR 72211-2701
(501) 502-2765
(501) 302-1991
Mailing address
11521 W MARKHAM ST, LITTLE ROCK, AR 72211-2701
(501) 502-2765
(501) 302-1991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E100-91
AR
Other
Enumeration date
05/14/2015
Last updated
03/04/2021
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