ARKANSAS PEDIATRIC CLINIC, PLLC
Medical Practice at University Ave, Little Rock, AR

License number
Arkansas MC-2221
Category
Medical Practice
Type
Specialist
Owner
Name: ANTHONY D JPHNSON M.D.
Title: MEMBER
Phone: (501) 661-0308
Address
Address
500 S University Ave STE 200, Little Rock, AR 72205
National Provider ID: 1366471195
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ARKANSAS PEDIATRIC CLINIC, PLLC

500 S University Ave SUITE 200, Little Rock, AR 72207

Registration:
Mar 11, 2002
State ID:
100210447
Business type:
Limited Liability Company
P.A.:
Jeffrey Phillips Mosley &Amp; Scott (P.A.)
Agent:
Anthony D. Johnson, M.d,500 S University Ave SUITE 200, Little Rock, AR 72207 (Physical)
Filled under act:
Domestic LLC; 1003 of 1993

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