Jeffrey Dale Grills in Little Rock - Pediatrics

Jeffrey Dale Grills - NPI 1063449049

Jeffrey Dale Grills is a Pediatrics in Little Rock, Arkansas. Jeffrey Dale Grills practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jeffrey Dale Grills is 1063449049. The last update date is 2018-03-22.

Jeffrey Dale Grills's current location address is 1 Childrens Way # 844, Little Rock, Arkansas. You can contact this provider via phone number 5013642090 and fax number 5013643929. The mailing address for Jeffrey Dale Grills is 1 Childrens Way # 844, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Dale Grills
Address 1 Childrens Way # 844, Little Rock, Arkansas
Phone Number 5013642090
Fax Number 5013643929
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1063449049
Provider Enumeration Date 2006-06-27
Last Updated Date 2018-03-22

Provider Mailing Address Detail

Address 1 Childrens Way # 844
City Little Rock
State Arkansas (AR)
Post Code 722023500
Phone Number 5013642090
Fax Number 5013643929

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 112085
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100250370B OK --
107500 MO ANTHEM
208684605 MO --
100289710A KS --
224757001 AR --

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FAQs about Jeffrey Dale Grills

What is the unique provider identifier assigned to Jeffrey Dale Grills?

The Jeffrey Dale Grills has been issued the NPI (National Provider Identifier) 1063449049 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Jeffrey Dale Grills is physically located?

The Jeffrey Dale Grills is situated at the following address: 1 Childrens Way # 844, Little Rock, AR 722023500.

What is Jeffrey Dale Grills's area of expertise and its corresponding taxonomy classification?

The Jeffrey Dale Grills's field of specialization is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Jeffrey Dale Grills receive its 1063449049 assignment from the Centers for Medicare & Medicaid Services?

The Jeffrey Dale Grills was assigned its 1063449049 by the Centers for Medicare & Medicaid Services on 2006-06-27.

When was the information pertaining to Jeffrey Dale Grills most recently updated or revised?

The details related to Jeffrey Dale Grills, including its address, specialty, and other relevant information, were last updated or revised on 2018-03-22.

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