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Contact Information

LITTLE ROCK PHYSICAL MEDICINE & REHABILITATION
3127 W 2ND CT
RUSSELLVILLE, AR72801-4504
 Phone: 479-692-3060
 Fax: 501-228-9341
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for LITTLE ROCK PHYSICAL MEDICINE & REHABILITATION

NPI # 1316250251
LBN Legal business name LITTLE ROCK PHYSICAL MEDICINE & REHABILITATION
Authorized official THOMAS WARD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/21/2010
Last updated 07/21/2010 - About 16 years ago
Identifiers
AR License # N7806
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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