Individual
DR. DANNY LEE WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4301 W MARKHAM ST, SLOT 515, LITTLE ROCK, AR 72205-7101
(501) 686-6667
(501) 686-8139
Mailing address
4301 W MARKHAM ST, SLOT 515, LITTLE ROCK, AR 72205-7101
(501) 686-6667
(501) 686-8139
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C-6483
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16508000000
QUALCHOICE
AR
01
—
55682
BCBS
AR
01
—
C6483
TRICARE
AR
01
—
P00020612
RAILROAD MEDICARE
AR
Enumeration date
07/31/2006
Last updated
07/08/2007
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