Pinnacle Family Medicine, P.a. | |
11321 Interstate 30 Suite 202 Little Rock AR 72209-7040 | |
(501) 975-1915 | |
(501) 975-1917 |
Full Name | Pinnacle Family Medicine, P.a. |
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Speciality | Clinic/Center |
Location | 11321 Interstate 30, Little Rock, Arkansas |
Authorized Official Name and Position | Karen Webb Crowell (PHYSICIAN) |
Authorized Official Contact | 5019751915 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pinnacle Family Medicine, P.a. 11321 Interstate 30 Suite 202 Little Rock AR 72209-7040 Ph: (501) 975-1915 | Pinnacle Family Medicine, P.a. 11321 Interstate 30 Suite 202 Little Rock AR 72209-7040 Ph: (501) 975-1915 |
NPI Number | 1851436117 |
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Provider Enumeration Date | 02/21/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 9032160957 |
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Medicare Enrollment ID | O20050208000398 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851436117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | BL136578 (Arkansas) | Primary |
Provider Name | Karen D Crowell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477632099 PECOS PAC ID: 5890746721 Enrollment ID: I20050208000522 |
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