Bluetail Arkansas Pllc
NPI #1578045803 in Little Rock, Arkansas
Provider Information
- NPI Number
- 1578045803
- Entity Type
- Organization
- Organization Name
- Bluetail Arkansas Pllc
- Primary Specialty
- Family Medicine - Sports Medicine
- Enumeration Date
- Sep 4, 2018
- Last Updated
- Nov 15, 2018
Practice Location
- Address
- 9101 KANIS RD STE 200
- City
- Little Rock
- State
- Arkansas
- ZIP Code
- 72205-6455
- Phone
- (636) 778-2900
Authorized Official
- Name
- DR. KRISTIN S OLIVER, MD
- Title
- OWNER
- Phone
- (636) 778-2900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Sports Medicine — Sports Medicine |
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