Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROCK HARRISON WRINKLES, PA
Active Sole ProprietorBROCK HARRISON WRINKLES, PA is a Addiction Medicine (Family Practice) healthcare provider located in HOT SPRINGS, Arkansas. NPI 1558809475 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · HOT SPRINGS, AR
Registration Details
- NPI Number
- 1558809475
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 11, 2017 (9.5028071583964 yrs)
- Last Updated
- Mar 21, 2023
- Licenses
-
PT2017-010 (AR)PA-720 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1801 CENTRAL AVE STE AHOT SPRINGS, AR, 719016800Browse AR providers · Browse ZIP 71901
- Phone
- 5016235598
- Fax
- 5016235516
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
- Additional Specialty
- Addiction Medicine (Family Practice)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.