Provider Demographics
NPI:1497725493
Name:LOVE, ROBERT TAYLOR III (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:TAYLOR
Last Name:LOVE
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3343 SPRINGHILL DR
Mailing Address - Street 2:SUITE 3010
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117-2929
Mailing Address - Country:US
Mailing Address - Phone:501-907-7300
Mailing Address - Fax:501-907-6040
Practice Address - Street 1:3343 SPRINGHILL DR
Practice Address - Street 2:SUITE 3010
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117-2929
Practice Address - Country:US
Practice Address - Phone:501-907-7300
Practice Address - Fax:501-907-6040
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARARE3915208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR138412001Medicaid
ARF79453Medicare UPIN
AR5N199Medicare PIN