Healthcare Provider Details

I. General information

NPI: 1760551451
Provider Name (Legal Business Name): EUGENE EDWARD SLOAN MD FACS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8315 CANTRELL RD STE 120
LITTLE ROCK AR
72227
US

IV. Provider business mailing address

8315 CANTRELL RD STE 120
LITTLE ROCK AR
72227
US

V. Phone/Fax

Practice location:
  • Phone: 501-224-1300
  • Fax: 501-224-4144
Mailing address:
  • Phone: 501-224-1300
  • Fax: 501-224-4144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License NumberC6885
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: