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NORTH LITTLE ROCK, AR
NPI1417585845
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: AR  E-15537)
Enumeration Date2020-03-31
Last Update Date2023-07-24
Business Address
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3201 SPRINGHILL DR STE 300
NORTH LITTLE ROCK, AR 72117-2909
Phone number: 501-753-4132
Mailing Address
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20925 LAHSER RD APT 113
SOUTHFIELD, MI 48033-4418
Phone number: 908-627-5257