Provider First Line Business Practice Location Address:
2801 S UNIVERSITY AVE
Provider Second Line Business Practice Location Address:
UNIVERSITY OF ARKANSAS AT LITTLE ROCK
Provider Business Practice Location Address City Name:
LITTLE ROCK
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72204-1099
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-569-8081
Provider Business Practice Location Address Fax Number:
501-371-7546
Provider Enumeration Date:
09/04/2007