Provider Demographics
NPI:1073589271
Name:ARKANSAS ONCOLOGY ASSOCIATES
Entity Type:Organization
Organization Name:ARKANSAS ONCOLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:P
Authorized Official - Last Name:BALTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:501-661-0060
Mailing Address - Street 1:9600 LILE DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6344
Mailing Address - Country:US
Mailing Address - Phone:501-661-0060
Mailing Address - Fax:501-661-1233
Practice Address - Street 1:9600 LILE DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6326
Practice Address - Country:US
Practice Address - Phone:501-661-0060
Practice Address - Fax:501-661-1233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC7454174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty