Healthcare Provider Details

I. General information

NPI: 1003074477
Provider Name (Legal Business Name): DR ANIKA T WHITFIELD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2008
Last Update Date: 11/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S UNIVERSITY AVE SUITE 707
LITTLE ROCK AR
72205-5302
US

IV. Provider business mailing address

500 S UNIVERSITY AVE SUITE 707
LITTLE ROCK AR
72205-5302
US

V. Phone/Fax

Practice location:
  • Phone: 501-614-7800
  • Fax: 501-660-7835
Mailing address:
  • Phone: 501-614-7800
  • Fax: 501-660-7835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number225
License Number StateAR

VIII. Authorized Official

Name: DR. ANIKA T WHITFIELD
Title or Position: PODIATRIST/OWNER
Credential: DPM
Phone: 501-614-7800