Most Relevant Information
Provider Data
| NPI Number: | 1003274127 |
| Provider Name: | BENJAMIN MIZELL CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | C003129 |
Most Important Dates
| Enumeration Date: | 02/03/2016 |
| Last Updated: | 02/03/2016 |
Provider Practice Location
9601 BAPTIST HEALTH DR
LITTLE ROCK
AR
722056321
Practice Location Phone/Fax
| Phone: | 5012022093 |
| Fax: | 5012026316 |
Provider Mailing Location
11001 EXECUTIVE CENTER DR
LITTLE ROCK
AR
722114316
Provider Mailing Phone/Fax
| Phone: | 5012022093 |
| Fax: | 5012026316 |