Organization · Type 2 NPI

University of Arkansas for Medical Sciences

Adolescent Medicine (Family Medicine) Physician · Little Rock, AR

NPI number 1285307744 Active

Practice location

9015 Dailey Dr
Little Rock, AR 72209-6215

Fax (501) 364-4020

Specialties and licenses

Taxonomy	Code	License
Adolescent Medicine (Family Medicine) Physician Primary	207QA0000X	None listed

Adolescent Medicine (Family Medicine) Physician: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

7 other providers at this address

NPI record

NPI: 1285307744
Entity type: Organization (Type 2)
Issued: Jul 29, 2021
Last updated: Jul 29, 2021
Status: Active
Subpart: Yes of University of Arkansas for Medical Sciences

Other names

SW Community Clinic · doing business as

Authorized official

Amanda D George
Vice Chancellor-Chief Financial Off
(501) 686-5670

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1285307744

University of Arkansas for Medical Sciences's National Provider Identifier is 1285307744, issued on Jul 29, 2021. The primary taxonomy on file is Adolescent Medicine (Family Medicine) Physician (207QA0000X), and the practice location is in Little Rock, AR. The record was last updated on Jul 29, 2021.