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NPI Code Detail

MEDICARE: WILLARD T CHUMLEY MD

MEDICARE: WILLARD T CHUMLEY 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
1207L00000XAnesthesiology PhysicianE0001AR

General Provider Information

NPI Number : 1598729279
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLARD T CHUMLEY MD
Provider Business Mailing Address
First Line : PO BOX 190670
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72219-0670
Country : US
Telephone Number : 501-771-4693
Fax Number : 501-771-4885
Provider Business Practice Location Address
First Line : 3333 SPRINGHILL DR
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72117-2922
Country : US
Telephone Number : 501-202-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2006
Last Update Date : 07/08/2007

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Directions to “ WILLARD T CHUMLEY MD” Practice Location

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