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NPI Code Detail

MEDICARE: CHASE DENTON MSPT

MEDICARE: CHASE DENTON MSPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical Therapist2240AR

General Provider Information

NPI Number : 1790779056
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHASE DENTON MSPT
Provider Business Mailing Address
First Line : 1090 ARNOLD DR
Second Line :
City : LITTLE ROCK AIR FORCE BASE
State : AR
Zip : 72099-4933
Country : US
Telephone Number : 501-987-7466
Fax Number :
Provider Business Practice Location Address
First Line : 1090 ARNOLD DR
Second Line :
City : LITTLE ROCK AIR FORCE BASE
State : AR
Zip : 72099-4933
Country : US
Telephone Number : 501-987-7466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2005
Last Update Date : 10/16/2024

Similar Medicare Providers

1073445854 — JESSICA L WHITE
Practice Location Address:
1090 ARNOLD DR
LITTLE ROCK AIR FORCE BASE, AR
72099-4933
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Practice Fax:
1841275948 — DR. CHARLES JOSEPH SNYDER D.M.D.
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Practice Location Address:
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1558326454 — DR. JAMES WITT BRYAN IV MD
Practice Location Address:
1090 ARNOLD DR , 19 AMDS/SGPF
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1720024102 — KIMBERLY D YADA MSW, LCSW
Practice Location Address:
1090 ARNOLD DR
LITTLE ROCK AIR FORCE BASE, AR
72099-4933
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Practice Fax:
1881626950 — DR. JERRI LEE FLETCHER P.D.
Practice Location Address:
1090 ARNOLD DR
LITTLE ROCK AIR FORCE BASE, AR
72099-4933
Practice Phone: 501-987-7446
Practice Fax: 501-987-7605

Directions to “ CHASE DENTON MSPT” Practice Location

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