Organization · Type 2 NPI
Executive Surgery Center of Little Rock, LLC
Ambulatory Surgical Clinic/Center · Little Rock, AR
NPI number
1386177376
Active
Practice location
11220 Executive Center Dr, Suite 100
Little Rock, AR 72211-4320
Fax (501) 312-2330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1386177376
Executive Surgery Center of Little Rock, LLC's National Provider Identifier is 1386177376, issued on Apr 6, 2017. 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 Oct 13, 2020.