Healthcare Provider Details

I. General information

NPI: 1225898612
Provider Name (Legal Business Name): CONNOR BJORN ROSET MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2024
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 W MARKHAM ST # 584
LITTLE ROCK AR
72205-7101
US

IV. Provider business mailing address

304 RICE ST
LITTLE ROCK AR
72205-6141
US

V. Phone/Fax

Practice location:
  • Phone: 501-686-6996
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberE-20677
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: