MEDICARE: DINA EPSTEIN M.D.

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	207V00000X	Obstetrics & Gynecology Physician	E-12207	AR

General Provider Information

NPI Number	:	1497141188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DINA EPSTEIN M.D.

Provider Business Mailing Address
First Line	:	11001 EXECUTIVE CENTER DR STE 200
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72211-4393
Country	:	US
Telephone Number	:	501-812-7800
Fax Number	:	501-812-7777

Provider Business Practice Location Address
First Line	:	3343 SPRINGHILL DR STE 3010
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72117-2932
Country	:	US
Telephone Number	:	501-955-2741
Fax Number	:	501-955-4558

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

Provider Enumeration Date	:	04/09/2015
Last Update Date	:	06/10/2019

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