NPI 1073079596 · live from the CMS NPI Registry
Premier Gastroenterology Associates PLLC
Clinic/Center, Ambulatory Surgical in Little Rock, AR. National Provider Identifier 1073079596, active.
NPI record
| NPI | 1073079596 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Ambulatory Surgical 261QA1903X |
| Practice location | 10915 Rodney Parham Rd, Suite A, Little Rock, AR 72212 |
| Practice phone | 501-747-2828 |
| Mailing address | Po Box 26618, Little Rock, AR 72221 |
| Enumerated | February 20, 2019 |
| Last updated | May 3, 2023 |
| Authorized official | Todd Greer, Ceo |
| Other names | Premier Surgery Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology | 207RG0100X | — |
| Clinic/Center, Ambulatory Surgical primary | 261QA1903X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.