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Pine Bluff Surgical Clinic, Inc
Specialist in Pine Bluff, Arkansas
NPI 1821148586

Pine Bluff Surgical Clinic, Inc is a Specialist based in Pine Bluff, AR. Pine Bluff Surgical Clinic, Inc practices in Pine Bluff, AR. The NPI Number for Pine Bluff Surgical Clinic, Inc is 1821148586 and holds a License No. R1682 (Arkansas).

The current practice location address for Pine Bluff Surgical Clinic, Inc is 316 W 6Th Ave, Pine Bluff, AR and can be reached out via phone at 870-850-6053 and via fax at 870-850-6482.

Location: 316 W 6Th Ave, Pine Bluff, AR, 71601-4217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821148586
Provider Name
Pine Bluff Surgical Clinic, Inc
Credential
Provider Entity Type
Organization
Address
316 W 6Th Ave, Pine Bluff, AR, 71601-4217
Phone Number
870-850-6053
Fax Number
870-850-6482
Provider Enumeration Date
01/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103023002 05 AR
institution
Provider Business Practice Location Address Details
Address
316 W 6Th Ave
City
Pine Bluff
State
Arkansas
Zip
71601-4217
Phone Number
870-850-6053
Fax Number
870-850-6482
person
Provider Business Mailing Address Details
Address
316 W 6Th Ave
City
Pine Bluff
State
Arkansas
Zip
71601-4217
Phone Number
870-850-6053
Fax Number
870-850-6482
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
R1682 (Arkansas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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