Individual
JONATHON D PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4301 W MARKHAM ST, UAMS #783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 603-1436
Mailing address
4301 W MARKHAM ST, UAMS #783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 603-1436
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-3664
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149498001
—
AR
01
—
E3664
TRICARE
AR
01
—
P00037818
RAILROAD MCARE THRU WCMC
AR
01
—
P00351560
RAILROAD MEDICARE
AR
Enumeration date
09/24/2006
Last updated
03/29/2013
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