Most Relevant Information
Provider Data
| NPI Number: | 1003503004 |
| Provider Name: | LUKE WILLIAM GANUCHEAU MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/19/2023 |
| Last Updated: | 04/19/2023 |
Provider Practice Location
4301 W MARKHAM ST
LITTLE ROCK
AR
722057101
Practice Location Phone/Fax
| Phone: | 5013762211 |
| Fax: |
Provider Mailing Location
4301 W MARKHAM ST
LITTLE ROCK
AR
722057101
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |