# GASTROENTEROLOGY ASSOCIATES OF SOUTHEAST ARKANSAS, P.A.

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

## Provider details

- **NPI number:** 1346289709
- **Authorized official:** DR. O T GORDON JR. M.D. (PRESIDENT)
- **Authorized official phone:** (870) 534-3344

## Contact information

- **Practice address:** 1609 W 40TH AVE, SUITE 312, PINE BLUFF, AR 71603-6329
- **Practice address phone:** (870) 534-3344
- **Practice address fax:** (870) 534-3517
- **Mailing address:** 1609 W 40TH AVE, SUITE 312, PINE BLUFF, AR 71603-6329
- **Mailing address phone:** (870) 534-3344
- **Mailing address fax:** (870) 534-3517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | C5353 | AR | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 03/24/2008
