institution
Executive Surgery Center Of Little Rock, Llc
Ambulatory Surgical Clinic/Center in Little Rock, Arkansas
NPI 1386177376

Executive Surgery Center Of Little Rock, Llc is an Ambulatory Surgical Clinic/Center based in Little Rock, AR and is specialized in Ambulatory Surgical. Executive Surgery Center Of Little Rock, Llc practices in Little Rock, AR. The NPI Number for Executive Surgery Center Of Little Rock, Llc is 1386177376 and holds a License No. (Arkansas).

The current practice location address for Executive Surgery Center Of Little Rock, Llc is 11220 Executive Center Dr, Little Rock, AR and can be reached out via phone at 501-312-2121 and via fax at 501-312-2330. You can also correspond with Executive Surgery Center Of Little Rock, Llc through the mailing address at 11220 EXECUTIVE CENTER DR, LITTLE ROCK, AR - 72211-4320 (mailing address contact number: 501-312-2121).

Location: 11220 Executive Center Dr, Little Rock, AR, 72211-4320
institution
Provider Profile Details
NPI Number
1386177376
Provider Name
Executive Surgery Center Of Little Rock, Llc
Credential
Provider Entity Type
Organization
Address
11220 Executive Center Dr, Little Rock, AR, 72211-4320
Phone Number
501-312-2121
Fax Number
501-312-2330
Provider Enumeration Date
04/06/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6098850 01 AETNA
3130254 01 FIRST HEALTH
225821128 05 AR
970544 01 AETNA COVENTRY
institution
Provider Business Practice Location Address Details
Address
11220 Executive Center Dr
City
State
Zip
72211-4320
Phone Number
501-312-2121
Fax Number
501-312-2330
person
Provider Business Mailing Address Details
Address
11220 Executive Center Dr
City
State
Zip
72211-4320
Phone Number
501-312-2121
Fax Number
501-312-2330
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
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Definition
Definition to come...
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