Provider First Line Business Practice Location Address:
4300 WEST SEVENTH STREET
Provider Second Line Business Practice Location Address:
CENTRAL ARKANSAS VETERANS HEALTH CARE SYSTEM
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:
501-257-6604
Provider Business Practice Location Address Fax Number:
501-257-6602
Provider Enumeration Date:
10/18/2006