Healthcare Provider Details

I. General information

NPI: 1801981790
Provider Name (Legal Business Name): DARREN FLAMIK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 05/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9601 INTERSTATE 630 EXIT 7
LITTLE ROCK AR
72205-7202
US

IV. Provider business mailing address

11001 EXECUTIVE CENTER DR STE 200
LITTLE ROCK AR
72211-4316
US

V. Phone/Fax

Practice location:
  • Phone: 501-202-2000
  • Fax:
Mailing address:
  • Phone: 501-812-7589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberE0278
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: