Individual
BRIAN K EBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDREN'S WAY # 653, LITTLE ROCK, AR 72202-3510
(501) 364-1100
Mailing address
1 CHILDREN'S WAY # 653, LITTLE ROCK, AR 72202-3510
(501) 364-1100
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
E-4836
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06070015700
QUALCHOICE
AR
05
—
162856001
—
AR
Enumeration date
09/22/2006
Last updated
03/04/2009
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