BLUETAIL ARKANSAS PLLC

LITTLE ROCK, AR
NPI1578045803
Entity TypeOrganization
Authorized ContactKRISTIN S OLIVER
Owner
636-778-2900
Organization Subpart ?No
Primary Taxonomy207QS0010X Family Medicine, Sports Medicine
Enumeration Date2018-09-04
Last Update Date2018-11-15
Business Address
BLUETAIL ARKANSAS PLLC
9101 KANIS RD STE 200
LITTLE ROCK, AR 72205-6455
Phone number: 636-778-2900
Mailing Address
BLUETAIL ARKANSAS PLLC
C/O BLUETAIL MEDICAL GROUP, LLC 17300 NORTH OUTER 40 RD, STE 201
CHESTERFIELD, MO 63005-1364
Phone number: 636-778-2900