Phillip J Suffridge in Benton - Ophthalmology
Phillip J Suffridge - NPI 1730142530
Phillip J Suffridge is a Ophthalmology in Benton, Arkansas. Phillip J Suffridge practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Phillip J Suffridge is 1730142530. The last update date is 2013-09-30.
Phillip J Suffridge's current location address is 3 Medical Park Dr Ste 300, Benton, Arkansas. You can contact this provider via phone number 5017781113. The mailing address for Phillip J Suffridge is 3 Medical Park Dr Ste 300, Benton, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip J Suffridge |
|---|---|
| Address | 3 Medical Park Dr Ste 300, Benton, Arkansas |
| Phone Number | 5017781113 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1730142530 |
|---|---|
| Provider Enumeration Date | 2006-04-11 |
| Last Updated Date | 2013-09-30 |
Provider Mailing Address Detail
| Address | 3 Medical Park Dr Ste 300 |
|---|---|
| City | Benton |
| State | Arkansas (AR) |
| Post Code | 720153726 |
| Phone Number | 5017781113 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | E2274 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 161592001 | AR | -- | |
| 6040018300 | AR | QUALCHOICE | |
| 5N525 | AR | BLUE CROSS BLUE SHIELD | |
| P00445226 | AR | RAILROAD MEDICARE | |
| 204462170 | AR | UNITED HEALTHCARE |
Post Comment/ Review Below
What is the Phillip J Suffridge's 1730142530?
The Phillip J Suffridge's NPI (National Provider Identifier) Number is 1730142530. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Phillip J Suffridge is physically located?
The Phillip J Suffridge is situated at the following address: 3 Medical Park Dr Ste 300, Benton, AR 720153726.
What is the Phillip J Suffridge's specialty and taxonomy code?
The Phillip J Suffridge's specialty is Ophthalmology, and the corresponding taxonomy code is 207W00000X.
On what date did the Phillip J Suffridge receive its 1730142530 assignment from the Centers for Medicare & Medicaid Services?
The Phillip J Suffridge was assigned its 1730142530 by the Centers for Medicare & Medicaid Services on 2006-04-11.
When was the information regarding Phillip J Suffridge, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Phillip J Suffridge, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-09-30.