Provider Demographics
NPI:1467547984
Name:WARREN, WILLIAM SIDNEY JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:SIDNEY
Last Name:WARREN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:425 W CAPITOL AVE STE 1535
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72201-3521
Mailing Address - Country:US
Mailing Address - Phone:501-448-6663
Mailing Address - Fax:501-448-6663
Practice Address - Street 1:425 W CAPITOL AVE STE 1535
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-3521
Practice Address - Country:US
Practice Address - Phone:501-448-6663
Practice Address - Fax:501-448-6663
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2023-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARC6145207LA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LA0401XAllopathic & Osteopathic PhysiciansAnesthesiologyAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR55491Medicaid
AR5G344Medicare PIN
AR23180Medicare UPIN
AR5AA11G344Medicare UPIN