Healthcare Provider Details

I. General information

NPI: 1992757884
Provider Name (Legal Business Name): REBECCA A RAMICK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 11/22/2024
Certification Date: 11/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 GENE GEORGE BLVD
SPRINGDALE AR
72762-0845
US

IV. Provider business mailing address

1 CHILDRENS WAY # 844
LITTLE ROCK AR
72202-3500
US

V. Phone/Fax

Practice location:
  • Phone: 479-725-6801
  • Fax: 479-725-6577
Mailing address:
  • Phone: 479-725-6801
  • Fax: 479-725-6577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC7525
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: