NPI 1073521175 · live from the CMS NPI Registry
Central Arkansas Gastroenterology Clinic, PA
Internal Medicine, Gastroenterology in Little Rock, AR. National Provider Identifier 1073521175, active.
NPI record
| NPI | 1073521175 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 212 Natural Resources Dr, Little Rock, AR 72205 |
| Practice phone | 501-664-7200 |
| Mailing address | Po Box 55073, Little Rock, AR 72215 |
| Enumerated | August 4, 2006 |
| Last updated | August 14, 2012 |
| Authorized official | Keith Morris, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | E3487 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.