ST VINCENT BREAST CANCER & MAMMOGRAPHY SCREENING CENTER LLC NPI 1023005253

NPI Information

ST VINCENT BREAST CANCER & MAMMOGRAPHY SCREENING CENTER LLC is a radiology and mammography clinic center in Little Rock, AR. ST VINCENT BREAST CANCER & MAMMOGRAPHY SCREENING CENTER LLC NPI is 1023005253. The provider is registered as an organization entity type.
The provider Is Doing Business As St Vincent Breast Cancer.

The provider's business location address is:

500 S UNIVERSITY AVE
SUITE 114
LITTLE ROCK, AR
ZIP 72205-302
Phone: (501) 661-9766
Fax: (501) 975-4666

The provider's authorized official is Jerome J Gehl .
The authorized official title is Medical Director and has the following contact phone number (501) 686-2614.

The enumeration date for this NPI number is 10/3/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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