Doctor Name: | DR. WILLIAM SIDNEY WARREN |
NPI Number: | 1467547984 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | C6145 |
Business Practice Address: | 900 S Shackleford Road Suite 300 Little Rock, AR - 72211 |
Business Phone Number: | 5017865100 |
Business Fax Number: | 5012278436 |
Mailing Address: | 900 S Shackleford Rd, Suite 300 LITTLE ROCK |
State: | AR |
Postal Code: | 722113817 |
Phone Number: | 5017865100 |
Fax Number: | 5012278436 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 01/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C6145 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |