NPI 1235204140 · live from the CMS NPI Registry
Elton Cleveland, MD
Pediatrics, Adolescent Medicine in Little Rock, AR. National Provider Identifier 1235204140, active.
NPI record
| NPI | 1235204140 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 800 Marshall St # 653, Little Rock, AR 72202 |
| Practice phone | 501-364-1100 |
| Enumerated | November 24, 2006 |
| Last updated | July 31, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | C-7255 (AR) |
| Pediatrics, Adolescent Medicine primary | 2080A0000X | C-7255 (AR) |
| Pediatrics, Sports Medicine | 2080S0010X | C-7255 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.