Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | R-4658 | AR |
Y | 207VG0400X | Gynecologist | R-4658 | AR |
NPI | 1033209523 |
---|---|
Provider Name | David Hutchins |
First Address | Little Rock, AR 72205-7101 |
Second Address | Little Rock, AR 72205-7101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 10/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
142140001 | (05) | AR |
160051065 | OTHER LEGACY NUMBERS (01) | AR |
19176000000 | ADDITIONAL MEDICAID (01) | |
5L734 | ADDITIONAL MEDICAID (01) | |
B47044 | (02) | |
R4658 | ADDITIONAL MEDICAID (01) |