Organization · Type 2 NPI
Premier Gastroenterology Associates PLLC
Ambulatory Surgical Clinic/Center · Little Rock, AR
NPI number
1073079596
Active
Practice location
10915 Rodney Parham Rd, Suite A
Little Rock, AR 72212-7221
Fax (501) 747-2868
Mailing address
PO Box 26618
Little Rock, AR 72221-6601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gastroenterology Physician | 207RG0100X | None listed |
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1073079596
Premier Gastroenterology Associates PLLC's National Provider Identifier is 1073079596, issued on Feb 20, 2019. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Little Rock, AR. The record was last updated on May 3, 2023.