Healthcare Provider Details

I. General information

NPI: 1467324046
Provider Name (Legal Business Name): ARKANSAS UROLOGY, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 SUPERIOR DR
CONWAY AR
72032-7018
US

IV. Provider business mailing address

1300 CENTERVIEW DR
LITTLE ROCK AR
72211-4349
US

V. Phone/Fax

Practice location:
  • Phone: 501-219-8900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY B MAROTTE
Title or Position: MD
Credential:
Phone: 501-327-5850