Individual
DR. JUAN CARLOS RICO CRESCENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4301 W MARKHAM ST # 776, LITTLE ROCK, AR 72205-7101
(501) 603-1616
(501) 603-1480
Mailing address
PO BOX 251420, LITTLE ROCK, AR 72225-1420
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-8538
AR
207RI0200X
Infectious Disease Physician
Primary
E-8538
AR
Other
Enumeration date
01/12/2011
Last updated
03/08/2023
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