NPI | 1962616227 |
---|---|
Doing Business As | WEST LITTLE ROCK FOOT CLINIC |
Entity Type | Organization |
Authorized Contact | LAURENCE KENNETH CONNELLEY Sole Proprietor 501-221-2266 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: AR 59) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2008-06-24 |