Individual
FREDERICK LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 S UNIVERSITY AVE, SUITE 400, LITTLE ROCK, AR 72205-5302
(501) 664-4044
(501) 664-4064
Mailing address
500 S UNIVERSITY AVE, SUITE 400, LITTLE ROCK, AR 72205-5302
(501) 664-4044
(501) 664-4064
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C5005
AR
208000000X
Pediatrics Physician
Primary
C5005
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104461001
—
AR
01
—
11289000000
QUAL CHOICE
AR
01
—
1220098
UNITED HEALTH CARE
AR
01
—
53132
ARK. BCBS
AR
Enumeration date
06/28/2006
Last updated
05/21/2008
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