| Ideal Health Md, Pllc | |
|
417 Main St Ste 110n Little Rock AR 72201-3801 | |
| (501) 200-4741 | |
| Not Available |
| Full Name | Ideal Health Md, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 417 Main St Ste 110n, Little Rock, Arkansas |
| Authorized Official Name and Position | Jill Jaggers Bryson (OWNER/PHYSICIAN) |
| Authorized Official Contact | 5012004741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Health Md, Pllc 6834 Cantrell Rd Ste 1117 Little Rock AR 72207-4135 Ph: (501) 200-4741 | Ideal Health Md, Pllc 417 Main St Ste 110n Little Rock AR 72201-3801 Ph: (501) 200-4741 |
| NPI Number | 1154104727 |
|---|---|
| Provider Enumeration Date | 08/16/2023 |
| Last Update Date | 08/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154104727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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