OrganizationActive
Little Rock Allergy & Asthma Clinic PA
NPI 1154360576 · Allergy & Immunology Physician · Little Rock, AR
Provider details
- NPI number
- 1154360576
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Wake, Operations Manager(501) 978-7113
- License
- MC0750 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
18 Corporate Hill Dr
Suite 110
Little Rock, AR 72205-4565
Phone: (501) 224-1156
Fax: (501) 801-5561
Approximate (ZIP-level) locationGet directions
Mailing address
18 Corporate Hill Drive
Little Rock, AR 72205-4565
Registry dates
- Enumerated
- 2006-06-05
- Last updated
- 2014-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.