| NPI | 1609035823 |
|---|---|
| Doing Business As | NEW BALANCE LITTLE ROCK |
| Entity Type | Organization |
| Authorized Contact | BART D DICKINSON Owner 501-794-1356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2009-11-09 |