| Childrens University Medical Group | |
|
800 Marshall St # Slot900 Little Rock AR 72202-3510 | |
| (501) 364-3620 | |
| (501) 364-3994 |
| Full Name | Childrens University Medical Group |
|---|---|
| Speciality | Social Worker |
| Location | 800 Marshall St # Slot900, Little Rock, Arkansas |
| Authorized Official Name and Position | Olan A Nugent (EXECUTIVE ASSOCIATE DEAN) |
| Authorized Official Contact | 5016868135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens University Medical Group 800 Marshall St # Slot900 Little Rock AR 72202-3510 Ph: (501) 364-3620 | Childrens University Medical Group 800 Marshall St # Slot900 Little Rock AR 72202-3510 Ph: (501) 364-3620 |
| NPI Number | 1750533642 |
|---|---|
| Provider Enumeration Date | 10/22/2008 |
| Last Update Date | 10/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750533642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 503-C (Arkansas) | Primary |
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