| Arkansas Manometry Llc | |
|
212 Natural Resources Dr Little Rock AR 72205-1573 | |
| (501) 765-7066 | |
| Not Available |
| Full Name | Arkansas Manometry Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 212 Natural Resources Dr, Little Rock, Arkansas |
| Authorized Official Name and Position | Keith Morris (OWNER) |
| Authorized Official Contact | 5017657066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arkansas Manometry Llc Po Box 55073 Little Rock AR 72215-5073 Ph: (501) 765-7066 | Arkansas Manometry Llc 212 Natural Resources Dr Little Rock AR 72205-1573 Ph: (501) 765-7066 |
| NPI Number | 1851861041 |
|---|---|
| Provider Enumeration Date | 11/29/2018 |
| Last Update Date | 11/29/2018 |
| Medicare PECOS PAC ID | 3375881337 |
|---|---|
| Medicare Enrollment ID | O20190218000308 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851861041 | NPI | - | NPPES |
| 05 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Keith E Morris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841281334 PECOS PAC ID: 4688644099 Enrollment ID: I20040730000946 |
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