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NPI Code Detail

MEDICARE: MICHAEL T. NOLEN, M. D., P. A.

MEDICARE: MICHAEL T. NOLEN, M. D., P. A.
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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

General Provider Information

NPI Number : 1871914911
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL T. NOLEN, M. D., P. A.
Provider Business Mailing Address
First Line : 7 SHACKLEFORD WEST BLVD
Second Line : SUITE 402
City : LITTLE ROCK
State : AR
Zip : 72211-3886
Country : US
Telephone Number : 501-492-2525
Fax Number :
Provider Business Practice Location Address
First Line : 7 SHACKLEFORD WEST BLVD
Second Line : SUITE 402
City : LITTLE ROCK
State : AR
Zip : 72211-3886
Country : US
Telephone Number : 501-492-2525
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. MICHAEL T NOLEN
Credential : M.D.
Telephone Number : 501-492-2525
Provider Enumeration Date : 12/16/2013
Last Update Date : 12/16/2013

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