Provider First Line Business Practice Location Address:
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES PEDIATRIC R
Provider Second Line Business Practice Location Address:
1 CHILDREN'S WAY SLOT 512-19A
Provider Business Practice Location Address City Name:
LITTLE ROCK
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-364-1874
Provider Business Practice Location Address Fax Number:
501-364-3196
Provider Enumeration Date:
06/10/2025