Rose Marie Shaw-Bullock in N Little Rock - Family Medicine

Rose Marie Shaw-Bullock - NPI 1790749943

Rose Marie Shaw-Bullock is a Family Medicine in N Little Rock, Arkansas. Rose Marie Shaw-Bullock practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Rose Marie Shaw-Bullock is 1790749943. The last update date is 2010-08-02.

Rose Marie Shaw-Bullock's current location address is 400 W Pershing Blvd, N Little Rock, Arkansas. You can contact this provider via phone number 5017717717 and fax number 5017710550. The mailing address for Rose Marie Shaw-Bullock is 400 W Pershing Blvd, N Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Rose Marie Shaw-Bullock
Address 400 W Pershing Blvd, N Little Rock, Arkansas
Phone Number 5017717717
Fax Number 5017710550
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1790749943
Provider Enumeration Date 2006-04-14
Last Updated Date 2010-08-02

Provider Mailing Address Detail

Address 400 W Pershing Blvd
City N Little Rock
State Arkansas (AR)
Post Code 721142146
Phone Number 5017717717
Fax Number 5017710550

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No E0873
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
132896001 AR --

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FAQs about Rose Marie Shaw-Bullock

What is the unique 10-digit identifier code assigned to Rose Marie Shaw-Bullock by the Centers for Medicare & Medicaid Services?

The Rose Marie Shaw-Bullock has been issued the NPI (National Provider Identifier) 1790749943 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Rose Marie Shaw-Bullock is geographically located?

The Rose Marie Shaw-Bullock is physically situated at the following location: 400 W Pershing Blvd, N Little Rock, AR, 721142146.

What is Rose Marie Shaw-Bullock's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Rose Marie Shaw-Bullock is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1790749943 to Rose Marie Shaw-Bullock?

The Centers for Medicare & Medicaid Services originally issued the 1790749943 to Rose Marie Shaw-Bullock on 2006-04-14.

As of what date was the information regarding Rose Marie Shaw-Bullock, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Rose Marie Shaw-Bullock, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-08-02.

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