Organization
ARKANSAS GASTROENTEROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA SNOW (ADMINISTRATOR)
(501) 945-3343
Entity
Organization
Contact information
Practice address
3401 SPRINGHILL DR, STE 400, NORTH LITTLE ROCK, AR 72117-2924
(501) 945-3343
(501) 945-0770
Mailing address
3401 SPRINGHILL DR, STE 400, NORTH LITTLE ROCK, AR 72117-2924
(501) 945-3343
(501) 945-0770
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MC1180
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57551
BLUE ADVANTAGE
AR
Enumeration date
05/28/2006
Last updated
08/22/2020
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