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University Of Arkansas Medical Sciences, Ahec Pine Bluff
Student in an Organized Health Care Education/Training Program in Pine Bluff, Arkansas
NPI 1881776987

University Of Arkansas Medical Sciences, Ahec Pine Bluff is a Student in an Organized Health Care Education/Training Program based in Little Rock, AR. University Of Arkansas Medical Sciences, Ahec Pine Bluff practices in Pine Bluff, AR. The NPI Number for University Of Arkansas Medical Sciences, Ahec Pine Bluff is 1881776987 and holds a License No. E5801 (Arkansas).

The current practice location address for University Of Arkansas Medical Sciences, Ahec Pine Bluff is 4747 Dusty Lake Dr, Pine Bluff, AR and can be reached out via phone at 870-541-9300.

Location: 4747 Dusty Lake Dr, Pine Bluff, AR, 72223-5093
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881776987
Provider Name
University Of Arkansas Medical Sciences, Ahec Pine Bluff
Credential
Provider Entity Type
Organization
Address
4747 Dusty Lake Dr, Pine Bluff, AR, 72223-5093
Phone Number
870-541-9300
Fax Number
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
E-5801 01 AR ARKANSAS STATE MEDICAL BOARD
440144201 05 AR
institution
Provider Business Practice Location Address Details
Address
4747 Dusty Lake Dr
City
Pine Bluff
State
Arkansas
Zip
71603-8742
Phone Number
870-541-9300
Fax Number
person
Provider Business Mailing Address Details
Address
4747 Dusty Lake Dr
City
Pine Bluff
State
Arkansas
Zip
71603-8742
Phone Number
870-541-9300
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Emergency Care
Taxonomy
261QE0002X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
E5801 (Arkansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
E5801 (Arkansas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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