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Autumn Road Family Practice, P.a,
Clinic/Center in Little Rock, Arkansas
NPI 1629027818

Autumn Road Family Practice, P.a, is a Clinic/Center based in Little Rock, AR. Autumn Road Family Practice, P.a, practices in Little Rock, AR. The NPI Number for Autumn Road Family Practice, P.a, is 1629027818 and holds a License No. MC0079 (Arkansas).

The current practice location address for Autumn Road Family Practice, P.a, is 904 Autumn Rd, Little Rock, AR and can be reached out via phone at 501-227-6363 and via fax at 501-227-8629.

Location: 904 Autumn Rd, Little Rock, AR, 72211-3737
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629027818
Provider Name
Autumn Road Family Practice, P.a,
Credential
Provider Entity Type
Organization
Address
904 Autumn Rd, Little Rock, AR, 72211-3737
Phone Number
501-227-6363
Fax Number
501-227-8629
Provider Enumeration Date
05/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
111026102 05 AR
institution
Provider Business Practice Location Address Details
Address
904 Autumn Rd
City
Little Rock
State
Arkansas
Zip
72211-3737
Phone Number
501-227-6363
Fax Number
501-227-8629
person
Provider Business Mailing Address Details
Address
904 Autumn Rd
City
Little Rock
State
Arkansas
Zip
72211-3737
Phone Number
501-227-6363
Fax Number
501-227-8629
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
MC0079 (Arkansas)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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