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NPI Code Detail

MEDICARE: ARKANSAS HEART HOSPITAL ANESTHESIA CONSULTANTS PLLC

MEDICARE: ARKANSAS HEART HOSPITAL ANESTHESIA CONSULTANTS PLLC
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
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1952365256
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARKANSAS HEART HOSPITAL ANESTHESIA CONSULTANTS PLLC
Provider Business Mailing Address
First Line : PO BOX 95010
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72190-5010
Country : US
Telephone Number : 501-771-4693
Fax Number : 501-771-4885
Provider Business Practice Location Address
First Line : 1701 S SHACKLEFORD RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-4335
Country : US
Telephone Number : 501-219-7481
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JON NEWSUM
Credential : MD
Telephone Number : 501-771-4693
Provider Enumeration Date : 04/13/2006
Last Update Date : 08/06/2008

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Directions to “ARKANSAS HEART HOSPITAL ANESTHESIA CONSULTANTS PLLC ” Practice Location

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