NPI 1659718419

Systemedic

Organisation Preferred Provider Organization Little Rock, AR

Practice location

Address: 10809 Executive Center Dr STE 105, Little Rock, AR 72211-6020
Phone: (501) 227-5553
Fax: (501) 227-8362

Authorised official

Name: Howard Bennett
Title: President
Phone: (501) 227-5553

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Arkansas →

Registry record

NPI: 1659718419
Entity type: Organization
NPI issued: 3 Jun 2013
Record last updated: 3 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.