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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTH ARK EAR NOSE &THROAT CLINIC P A

Active Organization

SOUTH ARK EAR NOSE &THROAT CLINIC P A is a Otolaryngology organization located in PINE BLUFF, Arkansas. NPI 1356317440 is currently active in the NPPES registry. Verify at CMS.

Otolaryngology · PINE BLUFF, AR

Registration Details

NPI Number
1356317440
Provider Type
Organization
NPI Issued
Feb 27, 2006 (20.416206616425 yrs)
Last Updated
Apr 30, 2019
Licenses
MC1312 (AR)
A#283 (AR)
A#283 (AR)
MC1312 (AR)
MC1312 (AR)

Practice Information

Address
1722 W 42ND AVE
PINE BLUFF, AR, 716037008
Browse AR providers · Browse ZIP 71603
Phone
8705355719
Fax
8705361963
Primary Specialty
Otolaryngology
207Y00000X
Additional Specialty
Audiologist
Additional Specialty
Allergy & Immunology
Additional Specialty
Otolaryngology
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.