Organization Name: | NORTH LITTLE ROCK PET ASSOCIATES, LLC |
NPI Number: | 1154382307 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RANDY WICKERSHAM (VP OF OPERATIONS) |
Mailing Address: | 3500 Springhill Dr Ste 100 N Little Rock |
State: | AR US |
Postal Code: | 721172950 |
Phone Number: | 5016871154 |
Fax Number: | 5016871289 |
NPI Enumeration Date: | 03/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247200000X |
License Number: | ARK-991-AP-BP-08-12 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |