Provider First Line Business Practice Location Address:
9501 BAPTIST HEALTH DR
Provider Second Line Business Practice Location Address:
MEDICAL TOWERS LL, SUITE 800
Provider Business Practice Location Address City Name:
LITTLE ROCK
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72205-6225
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-223-2080
Provider Business Practice Location Address Fax Number:
501-223-2088
Provider Enumeration Date:
01/10/2012