Provider Demographics
NPI:1497785935
Name:CHOATE, ROBERT B JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:B
Last Name:CHOATE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3401 SPRINGHILL DR STE 245
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117-2926
Mailing Address - Country:US
Mailing Address - Phone:501-758-1530
Mailing Address - Fax:501-758-5371
Practice Address - Street 1:3401 SPRINGHILL DR STE 245
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117-2926
Practice Address - Country:US
Practice Address - Phone:501-758-1530
Practice Address - Fax:501-758-5371
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC5179208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5184057OtherAETNA
AR104842001Medicaid
AR1220094OtherUNITED HEALTH CARE
AR1488184OtherCIGNA
AR11294000040OtherQUALCHOICE
AR51000OtherAR BLUECROSS BLUESHIELD
AR104842001Medicaid