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

WADE DALE BROCK, MD

Active Sole Proprietor

WADE DALE BROCK, MD is a 207WX0200X healthcare provider located in LITTLE ROCK, Arkansas. NPI 1609885805 is currently active in the NPPES registry. Verify at CMS.

207WX0200X · LITTLE ROCK, AR

Registration Details

NPI Number
1609885805
Provider Type
Individual
Gender
Male
NPI Issued
Aug 5, 2006 (20.055980722434 yrs)
Last Updated
May 22, 2025
License
E2380 (AR)
Sole Proprietor
Yes

Practice Information

Address
900 S SHACKLEFORD RD STE 220
LITTLE ROCK, AR, 722113847
Browse AR providers · Browse ZIP 72211
Phone
5012232244
Fax
5012232231
Primary Specialty
207WX0200X
207WX0200X

Other 207WX0200X Providers in LITTLE ROCK, AR

Name Credential NPI
DR. JENNIFER TREW SCRUGGS M.D. 1912906876
MEHRNOOSH MAALHAGHFARD 1669328191
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.