Fair Park Medical Clinic
Fair Park Medical Clinic is an Internal Medicine Physician in Little Rock, Arkansas. Licensed in Arkansas. Registered with an NPI since 2007.
- Licensed in
- AR
- In the registry since
- 2007
Practice location Address checks out
5320 W 12th StLittle Rock, AR 72204-1859
Phone: (501) 663-6262
Fax: (501) 663-3189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence MC2208 (AR) |
|---|
Record details
| NPI number | 1740481191 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carl Johnson — Owner · (501) 663-6262 |
| Other names | Fair Park Medical Clinic |
| NPI enumerated | May 31, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 5320 W. 12th Street, Little Rock, AR 72206 |
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