St Vincent Breast Cancer & Mammography Screening Center LLC
NPI #1023005253 in Little Rock, Arkansas
Provider Information
- NPI Number
- 1023005253
- Entity Type
- Organization
- Organization Name
- St Vincent Breast Cancer & Mammography Screening Center LLC
- Primary Specialty
- Clinic/Center - Radiology, Mammography
- Enumeration Date
- Oct 3, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 500 S UNIVERSITY AVE
- Address 2
- SUITE 114
- City
- Little Rock
- State
- Arkansas
- ZIP Code
- 72205-5302
- Phone
- (501) 661-9766
Authorized Official
- Name
- MR. JEROME J GEHL, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (501) 686-2614
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology, Mammography — Radiology, Mammography |
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