Organization
ADVANCED WOUND CARE & HYPERBARICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA R DRISKILL M.D. (PRESIDENT/SECRETARY/TREASURER)
(501) 202-3638
Entity
Organization
Contact information
Practice address
3333 SPRINGHILL DR, SUITE 2002, NORTH LITTLE ROCK, AR 72117-2922
(501) 202-3638
(501) 202-3639
Mailing address
PO BOX 15453, LITTLE ROCK, AR 72231-5453
(501) 202-3638
(501) 202-3639
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179015002
—
AR
01
—
5G169
BLUE CROSS BLUE SHIELD OF ARKANSAS
AR
Enumeration date
07/27/2009
Last updated
10/05/2011
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