LITTLE ROCK OUTPATIENT SURGERY CENTER LLC NPI 1548256365

NPI Information

LITTLE ROCK OUTPATIENT SURGERY CENTER, LLC is an ambulatory surgical clinic center in Little Rock, AR. LITTLE ROCK OUTPATIENT SURGERY CENTER, LLC NPI is 1548256365. The provider is registered as an organization entity type.
The provider Is Doing Business As Rivercrest Specialty Surgery Center.

The provider's business location address is:

8907 KANIS RD
STE. 100
LITTLE ROCK, AR
ZIP 72205-449
Phone: (501) 217-9007
Fax: (501) 221-0337

The provider's authorized official is Jerry Kincaid .
The authorized official title is Administrator and has the following contact phone number (501) 217-9007.

The enumeration date for this NPI number is 9/27/2005 and was last updated on 7/9/2008.

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:

Other Identifiers

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