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1578045803
BLUETAIL ARKANSAS PLLC
LITTLE ROCK, AR
NPI
1578045803
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Entity Type
Organization
Authorized Contact
KRISTIN S OLIVER
Owner
636-778-2900
Organization Subpart ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
Enumeration Date
2018-09-04
Last Update Date
2018-11-15
Business Address
BLUETAIL ARKANSAS PLLC
9101 KANIS RD STE 200
LITTLE ROCK, AR 72205-6455
Phone number: 636-778-2900
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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
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