| Market Place Medical Clinic | |
|
11400 Huron Ln Little Rock AR 72211-1847 | |
| (501) 224-0794 | |
| (501) 224-2838 |
| Full Name | Market Place Medical Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 11400 Huron Ln, Little Rock, Arkansas |
| Authorized Official Name and Position | Russell L. Cranford (PRESIDENT/OWNER) |
| Authorized Official Contact | 5012240794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Market Place Medical Clinic 11400 Huron Ln Little Rock AR 72211-1847 Ph: (501) 224-0794 | Market Place Medical Clinic 11400 Huron Ln Little Rock AR 72211-1847 Ph: (501) 224-0794 |
| NPI Number | 1487841946 |
|---|---|
| Provider Enumeration Date | 09/28/2007 |
| Last Update Date | 09/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487841946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MC1256 (Arkansas) | Primary |
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