| Your Bariatric Care Clinic Ea | |
|
1 Saint Vincent Cir Ste 320 Little Rock AR 72205-5408 | |
| (501) 663-9600 | |
| (501) 217-8502 |
| Full Name | Your Bariatric Care Clinic Ea |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1 Saint Vincent Cir Ste 320, Little Rock, Arkansas |
| Authorized Official Name and Position | Nicole Rucks (OFFICE MANAGER) |
| Authorized Official Contact | 5016639600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Bariatric Care Clinic Ea 1 Saint Vincent Cir Ste 320 Little Rock AR 72205-5408 Ph: (501) 663-9600 | Your Bariatric Care Clinic Ea 1 Saint Vincent Cir Ste 320 Little Rock AR 72205-5408 Ph: (501) 663-9600 |
| NPI Number | 1366933855 |
|---|---|
| Provider Enumeration Date | 05/21/2018 |
| Last Update Date | 05/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366933855 | NPI | - | NPPES |
| 1558330431 | Other | AR | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | C-7393 (Arkansas) | Primary |
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