South Ark Ear Nose &Throat Clinic P A in Pine Bluff - Allergy
South Ark Ear Nose &Throat Clinic P A - NPI 1356317440
South Ark Ear Nose &Throat Clinic P A is a Allergy in Pine Bluff, Arkansas. South Ark Ear Nose &Throat Clinic P A practices all healthcare services and medical treatments related to Allergy. The NPI Number for South Ark Ear Nose &Throat Clinic P A is 1356317440. The last update date is 2019-04-30.
South Ark Ear Nose &Throat Clinic P A's current location address is 1722 W 42nd Ave, Pine Bluff, Arkansas. You can contact this provider via phone number 8705355719 and fax number 8705361963. The mailing address for South Ark Ear Nose &Throat Clinic P A is 1722 W 42nd Ave, Pine Bluff, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Ark Ear Nose &Throat Clinic P A |
|---|---|
| Address | 1722 W 42nd Ave, Pine Bluff, Arkansas |
| Phone Number | 8705355719 |
| Fax Number | 8705361963 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Shorts Donald Stephen |
| Credentials | MD |
| Telephone Number | 8705355719 |
NPI Number Detail
| NPI Number | 1356317440 |
|---|---|
| Provider Enumeration Date | 2006-02-27 |
| Last Updated Date | 2019-04-30 |
Provider Mailing Address Detail
| Address | 1722 W 42nd Ave |
|---|---|
| City | Pine Bluff |
| State | Arkansas (AR) |
| Post Code | 716037008 |
| Phone Number | 8705355719 |
| Fax Number | 8705361963 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy |
|---|---|
| Taxonomy | 207Ka0200X |
| Licence No | MC1312 |
|
Definition: A physician who specializes in the diagnosis, treatment, and management of allergies. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 142932720 | AR | -- | |
| 56924 | AR | ARKANSAS BLUE CROSS BLUE SHIEL | |
| 103005702 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to South Ark Ear Nose &Throat Clinic P A by the Centers for Medicare & Medicaid Services?
The South Ark Ear Nose &Throat Clinic P A has been issued the NPI (National Provider Identifier) 1356317440 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the South Ark Ear Nose &Throat Clinic P A located?
The South Ark Ear Nose &Throat Clinic P A is located at 1722 W 42Nd Ave, Pine Bluff, AR 716037008.
What is the area of specialization for South Ark Ear Nose &Throat Clinic P A, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for South Ark Ear Nose &Throat Clinic P A is Allergy, and the corresponding taxonomy code that categorizes this area of expertise is 207Ka0200X.
On what date did the South Ark Ear Nose &Throat Clinic P A receive its 1356317440 assignment from the Centers for Medicare & Medicaid Services?
The South Ark Ear Nose &Throat Clinic P A was assigned its 1356317440 by the Centers for Medicare & Medicaid Services on 2006-02-27.
As of what date were the details pertaining to South Ark Ear Nose &Throat Clinic P A last refreshed?
The information related to the South Ark Ear Nose &Throat Clinic P A, including its address, specialty, and other relevant details, was last updated on 2019-04-30.
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