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Organization
ARKANSAS COUNTY ANESTHESIA AND PAIN MANAGEMENT, P.A.
Active
Organization
ARKANSAS COUNTY ANESTHESIA AND PAIN MANAGEMENT, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA PAVLOVNA BLAKLEY MD (MD)
(870) 674-6402
Entity
Organization
Contact information
Practice address
1703 N BUERKLE ST, SUITE 8, STUTTGART, AR 72160-3153
(870) 674-6402
Mailing address
PO BOX 115, STUTTGART, AR 72160-0115
(870) 674-6402
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
01/10/2006
Last updated
08/22/2020
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