Healthcare Provider Details

I. General information

NPI: 1871423038
Provider Name (Legal Business Name): RESERVE HEALTHSPAN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3414 OLD CANTRELL RD
LITTLE ROCK AR
72202-1860
US

IV. Provider business mailing address

701 SOUTH ST STE 100
MOUNTAIN HOME AR
72653-4452
US

V. Phone/Fax

Practice location:
  • Phone: 501-232-1729
  • Fax: 501-325-2907
Mailing address:
  • Phone: 502-232-1729
  • Fax: 501-325-2907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. COREY SADLER
Title or Position: OWNER
Credential: DO
Phone: 501-232-1729