Provider Demographics
NPI:1861710550
Name:BONE, SARAH C (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:C
Last Name:BONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:16115 ST VINCENT WAY
Mailing Address - Street 2:SUITE 320
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223
Mailing Address - Country:US
Mailing Address - Phone:501-664-4117
Mailing Address - Fax:501-448-2046
Practice Address - Street 1:16115 ST VINCENT WAY
Practice Address - Street 2:SUITE 320
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223
Practice Address - Country:US
Practice Address - Phone:501-664-4117
Practice Address - Fax:501-448-2046
Is Sole Proprietor?:No
Enumeration Date:2010-05-05
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
ARE-7986208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR198155001Medicaid