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Usrc Of Se Arkansas Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Stuttgart, Arkansas
NPI 1619071305

Usrc Of Se Arkansas Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Jonesboro, AR and is specialized in End-Stage Renal Disease (ESRD) Treatment. Usrc Of Se Arkansas Llc practices in Stuttgart, AR. The NPI Number for Usrc Of Se Arkansas Llc is 1619071305 and holds a License No. (Arkansas).

The current practice location address for Usrc Of Se Arkansas Llc is 805 W. Madison Street, Stuttgart, AR and can be reached out via phone at 870-673-0008 and via fax at 870-673-0091.

Location: 805 W. Madison Street, Stuttgart, AR, 72403-6601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619071305
Provider Name
Usrc Of Se Arkansas Llc
Credential
Provider Entity Type
Organization
Address
805 W. Madison Street, Stuttgart, AR, 72403-6601
Phone Number
870-673-0008
Fax Number
870-673-0091
Provider Enumeration Date
09/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
162017134 05 AR
12579 01 AR BCBS
institution
Provider Business Practice Location Address Details
Address
805 W. Madison Street
City
Stuttgart
State
Arkansas
Zip
72160-2543
Phone Number
870-673-0008
Fax Number
870-673-0091
person
Provider Business Mailing Address Details
Address
805 W. Madison Street
City
Stuttgart
State
Arkansas
Zip
72160-2543
Phone Number
870-673-0008
Fax Number
870-673-0091
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
(Arkansas)
Definition
Definition to come...
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