Provider First Line Business Practice Location Address:
DEPARTMENT OF SURGERY, 4301 W MARKHAM, SLOT 520
Provider Second Line Business Practice Location Address:
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-686-7874
Provider Business Practice Location Address Fax Number:
501-686-5696
Provider Enumeration Date:
07/25/2006