Basic Information
Provider Information
NPI: 1497141188
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EPSTEIN
FirstName: DINA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
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Mailing Information
Address1: 11001 EXECUTIVE CENTER DR STE 200
Address2:  
City: LITTLE ROCK
State: AR
PostalCode: 722114393
CountryCode: US
TelephoneNumber: 5018127800
FaxNumber: 5018127777
Practice Location
Address1: 3343 SPRINGHILL DR STE 3010
Address2:  
City: NORTH LITTLE ROCK
State: AR
PostalCode: 721172932
CountryCode: US
TelephoneNumber: 5019552741
FaxNumber: 5019554558
Other Information
ProviderEnumerationDate: 04/09/2015
LastUpdateDate: 06/10/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XE-12207ARY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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