Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | C-8214 | AR |
NPI | 1104875509 |
---|---|
Provider Name | Dr. Terrance J Zuerlein |
First Address | Little Rock, AR 72223-9569 |
Second Address | Little Rock, AR 72205-4549 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 08/07/2007 |