Organization
BREAST HEALTH CLINICS OF ARKANSAS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRI S FANT M.D. (PHYSICIAN/SURGEON)
(501) 955-9466
Entity
Organization
Contact information
Practice address
500 S UNIVERSITY AVE, SUITE 319, LITTLE ROCK, AR 72205-5302
(501) 664-2175
(501) 663-1656
Mailing address
500 S UNIVERSITY AVE, SUITE 319, LITTLE ROCK, AR 72205-5302
(501) 664-2175
(501) 663-1656
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
AR
Other
Enumeration date
01/27/2006
Last updated
08/22/2020
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