| Pleasant Valley Family Clinic | |
|
11719 Hinson Rd Suite 110 Little Rock AR 72212 | |
| (501) 224-2875 | |
| (501) 224-6357 |
| Full Name | Pleasant Valley Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 11719 Hinson Rd, Little Rock, Arkansas |
| Authorized Official Name and Position | Charity S Dulin (OFFICE MANAGER) |
| Authorized Official Contact | 5012242875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pleasant Valley Family Clinic 11719 Hinson Rd Suite 110 Little Rock AR 72212 Ph: (501) 224-2875 | Pleasant Valley Family Clinic 11719 Hinson Rd Suite 110 Little Rock AR 72212 Ph: (501) 224-2875 |
| NPI Number | 1578524856 |
|---|---|
| Provider Enumeration Date | 03/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578524856 | NPI | - | NPPES |
| 1350103001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E1810 (Arkansas) | Primary |
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