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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OTTER CREEK FAMILY CLINIC PLLC

Active Organization

OTTER CREEK FAMILY CLINIC PLLC is a Internal Medicine organization located in LITTLE ROCK, Arkansas. NPI 1336122340 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · LITTLE ROCK, AR

Registration Details

NPI Number
1336122340
Provider Type
Organization
NPI Issued
Nov 23, 2005 (20.753617072135 yrs)
Last Updated
Jun 23, 2010
License
C5502 (AR)

Practice Information

Address
11321 INTERSTATE 30
STE 101
LITTLE ROCK, AR, 722097059
Browse AR providers · Browse ZIP 72209
Phone
5014551331
Fax
5014555597
Primary Specialty
Internal Medicine
207R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.