Healthcare Provider Details

I. General information

NPI: 1487233136
Provider Name (Legal Business Name): PINNACLE SPINE AND ORTHOPEDIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2021
Last Update Date: 08/03/2023
Certification Date: 08/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10825 FINANCIAL CENTRE PKWY
LITTLE ROCK AR
72211-3553
US

IV. Provider business mailing address

800 W 4TH ST
NORTH LITTLE ROCK AR
72114-5364
US

V. Phone/Fax

Practice location:
  • Phone: 501-381-7957
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JACOB MURRAY
Title or Position: PRESIDENT
Credential:
Phone: 901-413-7365