Dr W Dale Perrymore, MD | |
9601 Lile Dr, Suite 1100, Little Rock, AR 72205-6333 | |
(501) 227-5256 | |
(501) 227-9151 |
Full Name | Dr W Dale Perrymore |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 9601 Lile Dr, Little Rock, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053366559 | NPI | - | NPPES |
139953001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | C-5498 (Arkansas) | Primary |
Entity Name | Radiology Consultants Of Little Rock, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639124118 PECOS PAC ID: 6103716303 Enrollment ID: O20040319000789 |
Mailing Address | Practice Location Address |
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Dr W Dale Perrymore, MD 9601 Lile Dr, Suite 1100, Little Rock, AR 72205-6333 Ph: (501) 227-5256 | Dr W Dale Perrymore, MD 9601 Lile Dr, Suite 1100, Little Rock, AR 72205-6333 Ph: (501) 227-5256 |
Jeremiah James Sabado, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Childrens Way # 104, Little Rock, AR 72202 Phone: 501-364-1175 Fax: 501-364-1513 | |
Dr. Jamie D Ireland, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4300 West 7th Street, John L. Mcclellan Memorial Veterans Hospital, Little Rock, AR 72205 Phone: 501-257-6615 | |
Dr. Aaron L. Janos, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 South University Avenue, Suite 101, Little Rock, AR 72205 Phone: 501-664-3914 Fax: 501-664-5246 | |
Whitney Goodwin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9601 Baptist Health Dr, Suite 1100, Little Rock, AR 72205 Phone: 501-748-3214 Fax: 501-227-9151 | |
Dr. Uma Mahesh Matapathi, M.D Radiology Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 104, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-4082 | |
Dr. Robert L Stuckey Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 9601 Baptist Health Dr, Suite 1100, Little Rock, AR 72205 Phone: 501-748-3214 Fax: 501-227-9151 | |
Jodi M Barboza, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 S University Ave, Suite 101, Little Rock, AR 72205 Phone: 501-664-3914 Fax: 501-664-5246 |