Individual
MATTHEW WESLEY HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 S SHACKLEFORD RD, LITTLE ROCK, AR 72211-4335
(501) 219-7000
Mailing address
PO BOX 165257, LITTLE ROCK, AR 72216-5257
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-14003
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E-14003
MEDICAL LICENSE
AR
Enumeration date
04/03/2018
Last updated
03/07/2023
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