ANDREA FA
Individual Provider (NPI-1)
Active
Colon & Rectal Surgery
Provider Information
- NPI Number
1558822189- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 9500 KANIS RD STE 501, LITTLE ROCK, AR, 722056389
- Phone
- (501) 227-9080
- Fax
- (501) 227-0410
Specialties & Taxonomies
Surgery
License: AR #E-20990
Colon & Rectal Surgery
Primary License: AR #E-20990