Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | E-1376 | AR |
NPI | 1336247501 |
---|---|
Provider Name | Scott Jason Darby |
First Address | Little Rock, AR 72205-5446 |
Second Address | Little Rock, AR 72205-5446 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 08/07/2007 |