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1306870068

NPI Code Detail

MEDICARE: ANGELA R DRISKILL MD

MEDICARE: ANGELA R DRISKILL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	E-0539	AR
2	2083P0011X	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	E-0539	AR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00754987	OTHER	AR	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5J857	OTHER	AR	AR BCBS

General Provider Information

NPI Number	:	1306870068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA R DRISKILL MD

Provider Business Mailing Address
First Line	:	PO BOX 15453
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72231-5453
Country	:	US
Telephone Number	:	501-202-3638
Fax Number	:	501-202-3639

Provider Business Practice Location Address
First Line	:	3333 SPRINGHILL DR STE 2002
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72117-2922
Country	:	US
Telephone Number	:	501-202-3638
Fax Number	:	501-202-3639

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	11/13/2019

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Directions to “ ANGELA R DRISKILL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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