Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Little Rock Dermatology Clinic PA

Organization Dermatology Physician · NPI 1215005731

Little Rock Dermatology Clinic PA provides Dermatology Physician services in Little Rock, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

500 S University Ave 301
Little Rock, AR 72205-5302 Not confirmed with CMS for 15 years — call before visiting
Phone: (501) 664-4161
Fax: (501) 664-6108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 5C206 (AR)

Record details

NPI number1215005731
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marion Nixon — Office Manager · (501) 664-4161
NPI enumeratedDecember 1, 2006
Last updated in NPPESAugust 31, 2011
Mailing address500 S University Ave, 301, Little Rock, AR 72205-5302

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