Individual
DR. SAMUEL BRADLEY WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
4300 W 7TH ST, CAVHS SURGICAL SERVICE 112/LR, LITTLE ROCK, AR 72205-5446
(501) 257-4615
(501) 257-6810
Mailing address
3 WILLIAMSBURG CIR, LITTLE ROCK, AR 72227-2234
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
C6223
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14623000000
QUALCHOICE
AR
01
—
55591
BCBS
AR
01
—
C6223
TRICARE
AR
Enumeration date
08/29/2006
Last updated
07/12/2007
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