Organization Name: | DR ANIKA T WHITFIELD LLC |
NPI Number: | 1003074477 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANIKA T WHITFIELD (PODIATRIST/OWNER) |
Mailing Address: | 500 S University Ave Suite 707 Little Rock |
State: | AR US |
Postal Code: | 722055302 |
Phone Number: | 5016147800 |
Fax Number: | 5016607835 |
NPI Enumeration Date: | 06/01/2008 |
NPI Last Update Date: | 11/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 225 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |