Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | E-14331 | AR |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | ME122524 | FL |
NPI | 1538300454 |
---|---|
Provider Name | Scott Jacob Schoenleber |
First Address | Little Rock, AR 72225-1418 |
Second Address | Little Rock, AR 72202-3500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2009 |
Last Update Date | 08/09/2021 |