Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | PA-886 | AR |
N | 208600000X | Surgeon | PA-886 | AR |
NPI | 1013473008 |
---|---|
Provider Name | Mrs. Elaine Marie Thrash |
First Address | Little Rock, AR 72205-6523 |
Second Address | Little Rock, AR 72205-6523 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2019 |
Last Update Date | 10/06/2020 |