Healthcare Provider Details
I. General information
NPI: 1023108529
Provider Name (Legal Business Name): VOLKAN TUZCU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/13/2006
Last Update Date: 07/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2001 BROOKFORD DR
LITTLE ROCK AR
72211-5482
US
IV. Provider business mailing address
2001 BROOKFORD DR
LITTLE ROCK AR
72211-5482
US
V. Phone/Fax
- Phone: 501-650-6689
- Fax:
- Phone: 501-650-6689
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0202X |
| Taxonomy | Pediatric Cardiology Physician |
| License Number | E-4216 |
| License Number State | AR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: