Individual
BARBARA A, SANDEFUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 SOUTH UNIVERSITY, SUITE 101, LITTLE ROCK, AR 72202-5324
(501) 664-3914
(501) 664-5246
Mailing address
500 SOUTH UNIVERSITY, SUITE 600, LITTLE ROCK, AR 72205-5324
(501) 664-3914
(501) 664-5246
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R3146
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121991001
—
AR
01
—
55822
BCBS PROVIDER NUMBER
AR
Enumeration date
06/13/2006
Last updated
01/18/2012
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