NPI: 1023005253
Provider Name: ST VINCENT BREAST CANCER & MAMMOGRAPHY SCREENING CENTER LLC
Doing Business As: ST VINCENT BREAST CANCER
Classification: Clinic/Center - 261QR0206X
Entity Type: Organization
Specialization: Radiology, Mammography
Address:
500 S UNIVERSITY AVE
SUITE 114
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 661-9766
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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.