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Gastroenterology Associates Of Southeast Arkansas, P.a.
Medical Specialty Clinic/Center in Pine Bluff, Arkansas
NPI 1346289709

Gastroenterology Associates Of Southeast Arkansas, P.a. is a Medical Specialty Clinic/Center based in Pine Bluff, AR and is specialized in Medical Specialty. Gastroenterology Associates Of Southeast Arkansas, P.a. practices in Pine Bluff, AR. The NPI Number for Gastroenterology Associates Of Southeast Arkansas, P.a. is 1346289709 and holds a License No. C5353 (Arkansas).

The current practice location address for Gastroenterology Associates Of Southeast Arkansas, P.a. is 1609 W 40Th Ave, Pine Bluff, AR and can be reached out via phone at 870-534-3344 and via fax at 870-534-3517.

Location: 1609 W 40Th Ave, Pine Bluff, AR, 71603-6329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346289709
Provider Name
Gastroenterology Associates Of Southeast Arkansas, P.a.
Credential
Provider Entity Type
Organization
Address
1609 W 40Th Ave, Pine Bluff, AR, 71603-6329
Phone Number
870-534-3344
Fax Number
870-534-3517
Provider Enumeration Date
06/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5C989 01 AR BLUE CROSS BLUE SHIELD
DB2069 01 AR RAIL ROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1609 W 40Th Ave
City
Pine Bluff
State
Arkansas
Zip
71603-6329
Phone Number
870-534-3344
Fax Number
870-534-3517
person
Provider Business Mailing Address Details
Address
1609 W 40Th Ave
City
Pine Bluff
State
Arkansas
Zip
71603-6329
Phone Number
870-534-3344
Fax Number
870-534-3517
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
C5353 (Arkansas)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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