Provider Demographics
NPI:1568642072
Name:ARMSTRONG, GREGORY W (CPO/L)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:W
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:CPO/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CHILDREN'S WAY, SLOT 104
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72202
Mailing Address - Country:US
Mailing Address - Phone:501-364-2262
Mailing Address - Fax:501-364-3564
Practice Address - Street 1:1 CHILDREN'S WAY, SLOT 104
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202
Practice Address - Country:US
Practice Address - Phone:501-364-2262
Practice Address - Fax:501-364-3564
Is Sole Proprietor?:No
Enumeration Date:2007-11-13
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROPP00268224L00000X, 224P00000X, 222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No224L00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPedorthist
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist