Healthcare Provider Details

I. General information

NPI: 1124084124
Provider Name (Legal Business Name): VICTOR BITON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 05/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 LILE CT STE 100
LITTLE ROCK AR
72205
US

IV. Provider business mailing address

2 LILE CT STE 100
LITTLE ROCK AR
72205-6221
US

V. Phone/Fax

Practice location:
  • Phone: 501-227-5061
  • Fax: 501-227-5234
Mailing address:
  • Phone: 501-227-5061
  • Fax: 501-227-5234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License NumberR-4085
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: