Usrc Of Se Arkansas Llc

NPI 1619071305 - Clinic/Center - 261QE0700X

NPI Details
NPI 1619071305
Enumeration Date 09/12/2006
Last Updated 10/28/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name THOMAS L THOMAS
Position VICE PRESIDENT GENERAL COUNSEL
Phone (870) 673-0008
Fax (870) 673-0091
Practice Location
805 W. MADISON STREET
STUTTGART AR, 72160-2543, US
Phone (870) 673-0008
Fax (870) 673-0091
Business Location
PO BOX 19119
JONESBORO AR, 72403-6601, US
Phone (870) 931-5400
Fax (870) 931-5418
Toxanomy
Taxonomy Code 261QE0700X
License State
License Number
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According to our database, Usrc Of Se Arkansas Llc NPI is 1619071305, taxonomy code is 261QE0700X Usrc Of Se Arkansas Llc physically located at 805 W. Madison Street, Stuttgart AR, 72160-2543. NPI Number 1033115704 has the healthcare provider type.

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1619071305 NPI number is provided on an as is basis without warranty of any kind. 1619071305 is maintained by the National Plan & Provider Enumeration System. The contents of Usrc Of Se Arkansas Llc are for informational purposes only.