Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Arkansas Dermatology Clinic PA

Organization Dermatology Physician · NPI 1497713580

Arkansas Dermatology Clinic PA is a Dermatology Physician in Little Rock, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

500 S University Ave Ste 704
Little Rock, AR 72205-5309
Phone: (501) 666-5451
Fax: (501) 663-3335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence R2029 (AR)

Record details

NPI number1497713580
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Raque — Physician Owner · (501) 666-5451
NPI enumeratedMay 1, 2006
Last updated in NPPESNovember 16, 2007
Mailing address500 South University Avenue, Suite 704, Little Rock, AR 72205-5309

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