Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | E-5763 | AR |
N | 208600000X | Surgeon | E-5763 | AR |
Y | 2086S0105X | Surgery of the Hand | E-5763 | AR |
NPI | 1124211271 |
---|---|
Provider Name | Dr. Richard Wirges |
First Address | Little Rock, AR 72204-1720 |
Second Address | Little Rock, AR 72204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2007 |
Last Update Date | 16/01/2020 |