Healthcare Provider Details

I. General information

NPI: 1932631439
Provider Name (Legal Business Name): COREY ALLEN SADLER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2017
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 NORTHSHORE DR
NORTH LITTLE ROCK AR
72118-5312
US

IV. Provider business mailing address

701 SOUTH ST
MOUNTAIN HOME AR
72653-4452
US

V. Phone/Fax

Practice location:
  • Phone: 501-313-4271
  • Fax: 501-313-4268
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number02005804A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: