Provider Demographics
NPI:1013935840
Name:UNIVERSITY OF ARKANSAS MEDICAL SCIENCES
Entity Type:Organization
Organization Name:UNIVERSITY OF ARKANSAS MEDICAL SCIENCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:ALISA
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LD
Authorized Official - Phone:501-366-1025
Mailing Address - Street 1:8709 OAKHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120-3927
Mailing Address - Country:US
Mailing Address - Phone:501-835-8031
Mailing Address - Fax:
Practice Address - Street 1:8709 OAKHAVEN DR
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120-3927
Practice Address - Country:US
Practice Address - Phone:501-835-8031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR876281P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes281P00000XHospitalsChronic Disease Hospital