institution
Alloplastic Facial Reconstruction
Customized Equipment (DME) in Little Rock, Arkansas
NPI 1699957928

Alloplastic Facial Reconstruction is a Customized Equipment (DME) based in Little Rock, AR and is specialized in Customized Equipment. Alloplastic Facial Reconstruction practices in Little Rock, AR. The NPI Number for Alloplastic Facial Reconstruction is 1699957928 and holds a License No. (Arkansas).

The current practice location address for Alloplastic Facial Reconstruction is 3924 W Markham St, Little Rock, AR and can be reached out via phone at 501-265-0100 and via fax at 501-265-0102.

Location: 3924 W Markham St, Little Rock, AR, 72205-5528
institution
Provider Profile Details
NPI Number
1699957928
Provider Name
Alloplastic Facial Reconstruction
Credential
Provider Entity Type
Organization
Address
3924 W Markham St, Little Rock, AR, 72205-5528
Phone Number
501-265-0100
Fax Number
501-265-0102
Provider Enumeration Date
11/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02593066 05 NY
140207716 05 AR
49597 01 AR BCBS
institution
Provider Business Practice Location Address Details
Address
3924 W Markham St
City
State
Zip
72205-5528
Phone Number
501-265-0100
Fax Number
501-265-0102
person
Provider Business Mailing Address Details
Address
3924 W Markham St
City
State
Zip
72205-5528
Phone Number
501-265-0100
Fax Number
501-265-0102
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
()
Definition
Definition to come...
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