| Southwest Medical Group | |
|
11401 Interstate 30 Little Rock AR 72209-7042 | |
| (501) 455-7100 | |
| (501) 455-7399 |
| Full Name | Southwest Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 11401 Interstate 30, Little Rock, Arkansas |
| Authorized Official Name and Position | Stanley Mclemore (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 2395983131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Medical Group 5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2704 Ph: (239) 598-3131 | Southwest Medical Group 11401 Interstate 30 Little Rock AR 72209-7042 Ph: (501) 455-7100 |
| NPI Number | 1336194786 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 06/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336194786 | NPI | - | NPPES |
| 155329002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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