# GREG PINEAU DO PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336380807
- **Authorized official:** GREG PINEAU D.O. (PRESIDNET/OWNER)
- **Authorized official phone:** (501) 922-6777

## Contact information

- **Practice address:** 112 CORDOBA CENTER, HOT SPRINGS VILLAGE, AR 71909
- **Practice address phone:** (501) 922-6777
- **Practice address fax:** (501) 922-6780
- **Mailing address:** 1501 N. UNIVERSITY AVENUE, SUITE 714, HOT SPRINGS VILLAGE, AR 71909-0000
- **Mailing address phone:** (501) 661-8207
- **Mailing address fax:** (501) 661-0304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E-2206 | AR | Yes |

## Other

- **Enumeration date:** 03/13/2009
- **Last updated:** 03/13/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 138671003 | — | AR |